Rio Vista Dental Arts Pllc | |
9145 W Thunderbird Rd H-105 Peoria AZ 85381-4820 | |
(623) 878-6476 | |
Not Available |
Full Name | Rio Vista Dental Arts Pllc |
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Speciality | Clinic/center - Dental |
Location | 9145 W Thunderbird Rd, Peoria, Arizona |
Authorized Official Name and Position | Michael J Gengle (MEMBER/DENTAL DIRECTOR) |
Authorized Official Contact | 6238786476 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rio Vista Dental Arts Pllc 9145 W Thunderbird Rd H-105 Peoria AZ 85381-4820 Ph: (623) 878-6476 | Rio Vista Dental Arts Pllc 9145 W Thunderbird Rd H-105 Peoria AZ 85381-4820 Ph: (623) 878-6476 |
NPI Number | 1588897789 |
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Provider Enumeration Date | 09/03/2009 |
Last Update Date | 09/03/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588897789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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