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Individual

DR. DALE R PARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
10566 N HWY 191, ELFRIDA, AZ 85610-9021
(520) 642-2222
Mailing address
1205 F AVE, DOUGLAS, AZ 85607-1920
(520) 364-1429
(520) 364-4261

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28058
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D28058-01
CA
Enumeration date
07/12/2005
Last updated
06/12/2013
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