| Molar Magic, Llc | |
|
1864 E Florence Blvd Suite 1 Casa Grande AZ 85122-5457 | |
| (520) 876-5200 | |
| (480) 393-0926 |
| Full Name | Molar Magic, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1864 E Florence Blvd, Casa Grande, Arizona |
| Authorized Official Name and Position | Thien Chi Pham (OWNER) |
| Authorized Official Contact | 5208765200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molar Magic, Llc 1864 E Florence Blvd Suite 1 Casa Grande AZ 85122-5457 Ph: (520) 876-5200 | Molar Magic, Llc 1864 E Florence Blvd Suite 1 Casa Grande AZ 85122-5457 Ph: (520) 876-5200 |
| NPI Number | 1164708350 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164708350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6854 (Arizona) | Primary |
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