Organization
CONTINENTAL DENTAL CARE 19TH AVE LLC
Active
Other names
Continental Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY A VASQUEZ RDA (MEMBER)
(623) 326-8426
Entity
Organization
Contact information
Practice address
5501 N 19TH AVE, SUITE 103, PHOENIX, AZ 85015-2450
(602) 246-1119
(602) 249-5080
Mailing address
5501 N 19TH AVE, SUITE 103, PHOENIX, AZ 85015-2450
(602) 246-1119
(602) 249-5080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0213
AZ
Other
Enumeration date
06/01/2007
Last updated
05/15/2008
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