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General NPI Number Information
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NPI Number | 1255124053
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Entity Type | Organization
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Legal Business Name | CURTIS WEST DMD PLLC
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Dates
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Enumeration Date | 05/24/2025
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 25355 N LAKE PLEASANT PKWY UNIT 103
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City | PEORIA
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State | AZ
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Zip | 85383-1504
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Country | US
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Telephone | 623-937-1888
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Fax |
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Provider Business Mailing Address
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Address Line | 19040 N 73RD DR
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City | GLENDALE
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State | AZ
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Zip | 85308-5809
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Country | US
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Telephone | 832-928-1937
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CURTIS IVAN WEST
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Credential | DMD
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Telephone | 832-928-1937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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