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2501 S Market St Gilbert AZ 85295-1300 | |
| (480) 626-0663 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2501 S Market St, Gilbert, Arizona |
| Authorized Official Name and Position | Severn Bizzaro (MANAGER) |
| Authorized Official Contact | 7024490881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1628 E Southern Ave Ste 9-232 Tempe AZ 85282-5782 Ph: (702) 449-0881 | 2501 S Market St Gilbert AZ 85295-1300 Ph: (480) 626-0663 |
| NPI Number | 1841785722 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841785722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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