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Individual

DR. AVIS MARIE SADRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
6036 N 19TH AVE, STE 210, PHOENIX, AZ 85015-2106
(602) 433-2992
(602) 249-3906
Mailing address
6036 N 19TH AVE, STE 210, PHOENIX, AZ 85015-2106
(602) 433-2992
(602) 249-3906

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6921
AZ
1223G0001X
General Practice Dentistry
NE 6445
NE

Other

Enumeration date
09/27/2005
Last updated
01/29/2015
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