| Agave Dentistry | |
|
2028 N Trekell Rd #107/#108 Casa Grande AZ 85222-1326 | |
| (520) 876-9955 | |
| Not Available |
| Full Name | Agave Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2028 N Trekell Rd, Casa Grande, Arizona |
| Authorized Official Name and Position | Duka M. Dill (PRESIDENT) |
| Authorized Official Contact | 5208769955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Dentistry 2028 N Trekell Rd #107/#108 Casa Grande AZ 85222-1326 Ph: (520) 876-9955 | Agave Dentistry 2028 N Trekell Rd #107/#108 Casa Grande AZ 85222-1326 Ph: (520) 876-9955 |
| NPI Number | 1790959435 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790959435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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