South Central Dental LLC

NPI #1952636573 in Phoenix, Arizona

Provider Information

NPI Number
1952636573
Entity Type
Organization
Organization Name
South Central Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 15, 2009
Last Updated
Oct 15, 2009

Practice Location

Address
6831 S CENTRAL AVE
State
Arizona
ZIP Code
85042-5420
Phone
(602) 268-8881

Authorized Official

Name
DR. JUSTIN CHURCH, DMD
Title
DENTIST
Phone
(480) 206-0139

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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