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A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI Number | 1104019918 |
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| LBN Legal business name | BONANZA SQUARE DENTISTRY LLC | ||||
| Authorized official | ELDON JENKINS - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/24/2007 | ||||
| Last updated | 08/24/2007 - About 19 years ago | ||||
| Identifiers |
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BONANZA SQUARE DENTISTRY LLC