| Phoenix Arizona Dental Group Inc | |
|
4365 E. Pecos Drive Bldg 7 Suite 106-107 Gilbert AZ 85295 | |
| (602) 254-2489 | |
| Not Available |
| Full Name | Phoenix Arizona Dental Group Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4365 E. Pecos Drive Bldg 7 Suite 106-107, Gilbert, Arizona |
| Authorized Official Name and Position | George Ayoub (PART OWNER) |
| Authorized Official Contact | 6235362040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Arizona Dental Group Inc 14150 W. Mcdowell Rd Goodyear AZ 85395 Ph: (602) 254-2489 | Phoenix Arizona Dental Group Inc 4365 E. Pecos Drive Bldg 7 Suite 106-107 Gilbert AZ 85295 Ph: (602) 254-2489 |
| NPI Number | 1497486179 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497486179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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