| Glendale Dental Group, L.t.d. | |
|
4419 W Glendale Ave Glendale AZ 85301-2804 | |
| (623) 939-6549 | |
| (623) 939-3260 |
| Full Name | Glendale Dental Group, L.t.d. |
|---|---|
| Speciality | Dentist |
| Location | 4419 W Glendale Ave, Glendale, Arizona |
| Authorized Official Name and Position | Gary Salwin (PRESIDENT) |
| Authorized Official Contact | 6239396549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Dental Group, L.t.d. 4419 W Glendale Ave Glendale AZ 85301-2804 Ph: (623) 939-6549 | Glendale Dental Group, L.t.d. 4419 W Glendale Ave Glendale AZ 85301-2804 Ph: (623) 939-6549 |
| NPI Number | 1356569875 |
|---|---|
| Provider Enumeration Date | 04/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356569875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AZ3437 (Arizona) | Primary |
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Arrowhead Oral & Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18555 N 79th Ave, #a103, Glendale, AZ 85308 Phone: 623-412-0310 Fax: 623-412-2188 | |
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