M & C Community Dental Care | |
333 E Virginia Ave Suite 115 Phoenix AZ 85004-1206 | |
(602) 307-5775 | |
(602) 307-9041 |
Full Name | M & C Community Dental Care |
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Speciality | Dentist - General Practice |
Location | 333 E Virginia Ave, Phoenix, Arizona |
Authorized Official Name and Position | George R Ayoub (DENTIST) |
Authorized Official Contact | 6023075775 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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M & C Community Dental Care 333 E Virginia Ave Suite 115 Phoenix AZ 85004-1206 Ph: (602) 307-5775 | M & C Community Dental Care 333 E Virginia Ave Suite 115 Phoenix AZ 85004-1206 Ph: (602) 307-5775 |
NPI Number | 1073836110 |
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Provider Enumeration Date | 03/03/2010 |
Last Update Date | 03/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073836110 | NPI | - | NPPES |
951500 | Other | AZ | AHCCCS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6399 (Arizona) | Primary |
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