Organization
CONTINENTAL DENTAL CARE 19TH AVENUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN VAZQUES (OWNER)
(602) 246-1119
Entity
Organization
Contact information
Practice address
5501 N 19TH AVE, SUITE 103, PHOENIX, AZ 85015-2450
(602) 246-1119
Mailing address
5501 N 19TH AVE, SUITE 103, PHOENIX, AZ 85015-2450
(602) 246-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
05/15/2008
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