| Pediatric Dentistry Of Casa Grande | |
|
695 E Cottonwood Ln Casa Grande AZ 85122-2023 | |
| (520) 876-5200 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Casa Grande |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 695 E Cottonwood Ln, Casa Grande, Arizona |
| Authorized Official Name and Position | Mario Montanez (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 5054679383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Casa Grande 695 E Cottonwood Ln Casa Grande AZ 85122-2023 Ph: (520) 876-5200 | Pediatric Dentistry Of Casa Grande 695 E Cottonwood Ln Casa Grande AZ 85122-2023 Ph: (520) 876-5200 |
| NPI Number | 1558995951 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558995951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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