| Citrus Valley Dental Care, Llc | |
|
215 S Power Rd Ste 101 Mesa AZ 85206-5236 | |
| (480) 982-0782 | |
| Not Available |
| Full Name | Citrus Valley Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 215 S Power Rd Ste 101, Mesa, Arizona |
| Authorized Official Name and Position | John Bigler (OWNER) |
| Authorized Official Contact | 4809820782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Valley Dental Care, Llc 215 S Power Rd Ste 101 Mesa AZ 85206-5236 Ph: (480) 982-0782 | Citrus Valley Dental Care, Llc 215 S Power Rd Ste 101 Mesa AZ 85206-5236 Ph: (480) 982-0782 |
| NPI Number | 1659778637 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659778637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D8556 (Arizona) | Primary |
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