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COUNTRY CLUB DENTAL MANAGEMENT CO, PC

Dentist

NPI: 1164722021Organization

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

D07819(AZ)
General Practice Dentistry

Dentist — General Practice

Code: 1223G0001X

D07819(AZ)
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Contact & Hours

Address
4704 E SOUTHERN AVE
MESA, AZ 85206

Quick Facts

NPI
1164722021
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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