| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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