| Festival Dental Group | |
|
13869 W. Bell Road Suite 103 Surprise AZ 85374 | |
| (623) 584-4015 | |
| (623) 584-4557 |
| Full Name | Festival Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13869 W. Bell Road, Surprise, Arizona |
| Authorized Official Name and Position | James Mallory (OWNER DOCTOR) |
| Authorized Official Contact | 6235844015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Festival Dental Group 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Festival Dental Group 13869 W. Bell Road Suite 103 Surprise AZ 85374 Ph: (623) 584-4015 |
| NPI Number | 1497883128 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 09/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497883128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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