| Villago Dentistry Llc | |
|
2876 N Pinal Ave Ste 4 Casa Grande AZ 85122-7944 | |
| (520) 374-2225 | |
| (520) 374-2229 |
| Full Name | Villago Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2876 N Pinal Ave Ste 4, Casa Grande, Arizona |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villago Dentistry Llc 2876 N Pinal Ave Ste 4 Casa Grande AZ 85122-7944 Ph: (520) 374-2225 | Villago Dentistry Llc 2876 N Pinal Ave Ste 4 Casa Grande AZ 85122-7944 Ph: (520) 374-2225 |
| NPI Number | 1780226464 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 10/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780226464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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