Hdp Casa Grande Dental Llc | |
1968 N Peart Rd Ste 22 Casa Grande AZ 85122-2497 | |
(520) 426-0404 | |
Not Available |
Full Name | Hdp Casa Grande Dental Llc |
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Speciality | Dentist - General Practice |
Location | 1968 N Peart Rd Ste 22, Casa Grande, Arizona |
Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hdp Casa Grande Dental Llc 1968 N Peart Rd Ste 22 Casa Grande AZ 85122-2497 Ph: (520) 426-0404 | Hdp Casa Grande Dental Llc 1968 N Peart Rd Ste 22 Casa Grande AZ 85122-2497 Ph: (520) 426-0404 |
NPI Number | 1366040057 |
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Provider Enumeration Date | 10/14/2020 |
Last Update Date | 10/14/2020 |
Identifier | Type | State | Issuer |
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1366040057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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