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Organization

COSMETIC FAMILY DENTAL CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICK NAM HUYNH DDS (OWNER DENTIST)
(480) 503-3600
Entity
Organization

Contact information

Practice address
1236 E BASELINE RD, #103, MESA, AZ 85204-6705
(480) 503-3600
(480) 503-3601
Mailing address
1236 E BASELINE RD, #103, MESA, AZ 85204-6705
(480) 503-3600
(480) 503-3601

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5118
AZ

Other

Enumeration date
03/21/2007
Last updated
08/22/2020
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