CASA GRANDE ORAL AND MAXILLOFACIAL SURGERY, P.C.

CASA GRANDE, AZ
NPI1851569693
Entity TypeOrganization
Authorized ContactJEREMY WADE CULL
President
520-876-5227
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: AZ  7170)
Enumeration Date2008-02-14
Last Update Date2015-01-28
Business Address
CASA GRANDE ORAL AND MAXILLOFACIAL SURGERY, P.C.
1876 E SABIN DR STE 6
CASA GRANDE, AZ 85122-6197
Phone number: 520-876-5227
Mailing Address
CASA GRANDE ORAL AND MAXILLOFACIAL SURGERY, P.C.
1876 E SABIN DR STE 6
CASA GRANDE, AZ 85122-6197
Phone number: 520-876-5227
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