| Village Grove Dental Care | |
|
4120 N 197th Ave Buckeye AZ 85396 | |
| (480) 696-8353 | |
| Not Available |
| Full Name | Village Grove Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4120 N 197th Ave, Buckeye, Arizona |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Grove Dental Care 4120 N 197th Ave Buckeye AZ 85396-8428 Ph: (623) 289-1873 | Village Grove Dental Care 4120 N 197th Ave Buckeye AZ 85396 Ph: (480) 696-8353 |
| NPI Number | 1659875698 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 10/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659875698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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