Superstition Mountain Dental, Inc. | |
5331 S. Superstition Springs Dr. Ste. 108 Gold Canyon AZ 85218 | |
(480) 671-7777 | |
(481) 671-7785 |
Full Name | Superstition Mountain Dental, Inc. |
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Speciality | Dentist - General Practice |
Location | 5331 S. Superstition Springs Dr., Gold Canyon, Arizona |
Authorized Official Name and Position | Jonathan G. Lovell (PRESIDENT) |
Authorized Official Contact | 4806717777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Superstition Mountain Dental, Inc. 5331 S. Superstition Springs Dr. Ste. 108 Gold Canyon AZ 85218 Ph: (480) 671-7777 | Superstition Mountain Dental, Inc. 5331 S. Superstition Springs Dr. Ste. 108 Gold Canyon AZ 85218 Ph: (480) 671-7777 |
NPI Number | 1629138367 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1629138367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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