| Impressions Dental Cg | |
|
1677 E Florence Blvd Ste 24 Casa Grande AZ 85122-4786 | |
| (520) 374-2400 | |
| (520) 836-7469 |
| Full Name | Impressions Dental Cg |
|---|---|
| Speciality | Dentist |
| Location | 1677 E Florence Blvd Ste 24, Casa Grande, Arizona |
| Authorized Official Name and Position | Spencer D Weed (DENTIST/ OWNER) |
| Authorized Official Contact | 5203742400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impressions Dental Cg 1677 E Florence Blvd Ste 24 Casa Grande AZ 85122-4786 Ph: (520) 374-2400 | Impressions Dental Cg 1677 E Florence Blvd Ste 24 Casa Grande AZ 85122-4786 Ph: (520) 374-2400 |
| NPI Number | 1083060339 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083060339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7344 (Arizona) | Primary |
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