Western Dental Of Arizona, Inc. | |
1348 E Florence Blvd 7 Casa Grande AZ 85122-5361 | |
(520) 316-4287 | |
(520) 316-4291 |
Full Name | Western Dental Of Arizona, Inc. |
---|---|
Speciality | Dentist |
Location | 1348 E Florence Blvd, Casa Grande, Arizona |
Authorized Official Name and Position | Soledad Navarro (PPO COORDINATOR) |
Authorized Official Contact | 7144803000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Western Dental Of Arizona, Inc. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Western Dental Of Arizona, Inc. 1348 E Florence Blvd 7 Casa Grande AZ 85122-5361 Ph: (520) 316-4287 |
NPI Number | 1285041020 |
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Provider Enumeration Date | 07/14/2014 |
Last Update Date | 07/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285041020 | NPI | - | NPPES |
G92150 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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