Burgardt And Diaz Dental Group, Pllc | |
13260 N 94th Dr Ste 410 Peoria AZ 85381-4241 | |
(620) 260-5655 | |
Not Available |
Full Name | Burgardt And Diaz Dental Group, Pllc |
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Speciality | Dentist - Periodontics |
Location | 13260 N 94th Dr Ste 410, Peoria, Arizona |
Authorized Official Name and Position | Grayson John Burgardt (MEMBER, MANAGER, AND EMPLOYEE) |
Authorized Official Contact | 6202605655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Burgardt And Diaz Dental Group, Pllc 6519 E Bluefield Ave Phoenix AZ 85054-6741 Ph: (620) 260-5655 | Burgardt And Diaz Dental Group, Pllc 13260 N 94th Dr Ste 410 Peoria AZ 85381-4241 Ph: (620) 260-5655 |
NPI Number | 1972128858 |
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Provider Enumeration Date | 06/16/2020 |
Last Update Date | 07/01/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972128858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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