| Alpha Dental Group | |
|
894 E Warner Rd #105 Gilbert AZ 85296 | |
| (480) 882-9588 | |
| (480) 813-6100 |
| Full Name | Alpha Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 894 E Warner Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Quang Le (DENTIST PRESIDENT) |
| Authorized Official Contact | 4808829588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Dental Group 894 E Warner Rd Ste #105 Gilbert AZ 85296 Ph: (480) 882-9588 | Alpha Dental Group 894 E Warner Rd #105 Gilbert AZ 85296 Ph: (480) 882-9588 |
| NPI Number | 1730227240 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730227240 | NPI | - | NPPES |
| 917388 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5777 (Arizona) | Primary |
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