| Dental Depot Of Power & Baseline, Pllc | |
|
2170 Power Rd. Gilbert AZ 85234 | |
| (520) 900-8123 | |
| (520) 598-0004 |
| Full Name | Dental Depot Of Power & Baseline, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2170 Power Rd., Gilbert, Arizona |
| Authorized Official Name and Position | Gaylon Zissa (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 4059458941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Of Power & Baseline, Pllc 2170 Power Rd. Gilbert AZ 85234 Ph: (520) 900-8123 | Dental Depot Of Power & Baseline, Pllc 2170 Power Rd. Gilbert AZ 85234 Ph: (520) 900-8123 |
| NPI Number | 1447931803 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447931803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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