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General NPI Number Information
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NPI Number | 1790423846
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Entity Type | Organization
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Legal Business Name | TURTLE DENTAL MANAGEMENT PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 1550 E MARYLAND AVE STE 2
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City | PHOENIX
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State | AZ
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Zip | 85014-1417
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Country | US
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Telephone | 602-285-9979
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 E MARYLAND AVE STE 2
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City | PHOENIX
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State | AZ
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Zip | 85014-1417
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Country | US
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Telephone | 602-285-9979
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JUSTIN A JONES
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Credential | DMD
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Telephone | 602-285-9979
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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 |
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License Number State |
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