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4365 E Pecos Rd Ste 127 Gilbert AZ 85295-8052 | |
| (480) 331-4955 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4365 E Pecos Rd Ste 127, Gilbert, Arizona |
| Authorized Official Name and Position | Nicole Altier (PRESIDENT) |
| Authorized Official Contact | 4803314955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5329 S Tatum Ln Gilbert AZ 85298-0356 Ph: () - | 4365 E Pecos Rd Ste 127 Gilbert AZ 85295-8052 Ph: (480) 331-4955 |
| NPI Number | 1144737347 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144737347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | F000626 (Arizona) | Primary |
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