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7400 S Power Rd Bldg 6, Ste 132 Gilbert AZ 85297 | |
| (480) 503-3764 | |
| (480) 380-0336 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7400 S Power Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Joel R Clark (DENTIST) |
| Authorized Official Contact | 4805033764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7400 S Power Rd Bldg 6, Ste 132 Gilbert AZ 85297 Ph: (480) 503-3764 | 7400 S Power Rd Bldg 6, Ste 132 Gilbert AZ 85297 Ph: (480) 503-3764 |
| NPI Number | 1063618916 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063618916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5179 (Arizona) | Primary |
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