| Pavilion Dental Group | |
|
9947 W Happy Valley Rd Ste 101 Peoria AZ 85383-1214 | |
| (623) 572-0893 | |
| (623) 566-0770 |
| Full Name | Pavilion Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9947 W Happy Valley Rd Ste 101, Peoria, Arizona |
| Authorized Official Name and Position | Adam P Block (OWNER DOCTOR) |
| Authorized Official Contact | 6235720893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavilion Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Pavilion Dental Group 9947 W Happy Valley Rd Ste 101 Peoria AZ 85383-1214 Ph: (623) 572-0893 |
| NPI Number | 1568622025 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568622025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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