| Centercare Dental Group | |
|
340 E Palm Ln Suite 280 Phoenix AZ 85004-4603 | |
| (602) 252-2800 | |
| (602) 254-8228 |
| Full Name | Centercare Dental Group |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 340 E Palm Ln, Phoenix, Arizona |
| Authorized Official Name and Position | Gary Marshall Steen (DOCTOR) |
| Authorized Official Contact | 6022522800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centercare Dental Group 340 E Palm Ln Suite 280 Phoenix AZ 85004-4603 Ph: (602) 252-2800 | Centercare Dental Group 340 E Palm Ln Suite 280 Phoenix AZ 85004-4603 Ph: (602) 252-2800 |
| NPI Number | 1194935353 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194935353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1576 (Arizona) | Primary |
| 1223P0700X | Dentist - Prosthodontics | 5015 (Arizona) | Primary |
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