| Val Vista Dental Group, Llc | |
|
1395 E Warner Rd Ste 105c Gilbert AZ 85296-3160 | |
| (480) 558-0212 | |
| (480) 558-0216 |
| Full Name | Val Vista Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1395 E Warner Rd Ste 105c, Gilbert, Arizona |
| Authorized Official Name and Position | Amir Michael Etebari (MANAGING MEMBER) |
| Authorized Official Contact | 4805580212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Val Vista Dental Group, Llc 1395 E Warner Rd # 105c Gilbert AZ 85296-3160 Ph: (480) 558-0212 | Val Vista Dental Group, Llc 1395 E Warner Rd Ste 105c Gilbert AZ 85296-3160 Ph: (480) 558-0212 |
| NPI Number | 1386851889 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386851889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4900 (Arizona) | Primary |
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