| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366040057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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