HDP CASA GRANDE DENTAL LLC

CASA GRANDE, AZ
NPI1366040057
Doing Business AsDM FAMILY DENTISTRY LLC
Entity TypeOrganization
Authorized ContactFAITH GASKINS
Director Of Credentialing
972-869-3789
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2020-10-14
Last Update Date2020-10-14
Business Address
HDP CASA GRANDE DENTAL LLC
1968 N PEART RD STE 22
CASA GRANDE, AZ 85122-2497
Phone number: 520-426-0404
Mailing Address
HDP CASA GRANDE DENTAL LLC
1968 N PEART RD STE 22
CASA GRANDE, AZ 85122-2497
Phone number: 520-426-0404