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General NPI Number Information
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NPI Number | 1780893768
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Entity Type | Organization
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Legal Business Name | IRONWOOD DENTAL CENTER,INC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 15425 S 40TH PL STE 1
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City | PHOENIX
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State | AZ
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Zip | 85044-3746
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Country | US
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Telephone | 480-704-0701
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Fax | 480-704-0787
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Provider Business Mailing Address
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Address Line | 15425 S 40TH PL STE 1
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City | PHOENIX
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State | AZ
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Zip | 85044-3746
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Country | US
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Telephone | 480-704-0701
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Fax | 480-704-0787
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. HARVEY BRUCE ARNCE
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Credential | D.D.S
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Telephone | 480-704-0701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3329
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License Number State | AZ
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