| North Groves Dental Group | |
|
2158 N Gilbert Rd Ste 123 Mesa AZ 85203 | |
| (480) 649-7200 | |
| Not Available |
| Full Name | North Groves Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2158 N Gilbert Rd, Mesa, Arizona |
| Authorized Official Name and Position | Jason Kole Perkins (OWNER) |
| Authorized Official Contact | 4806497200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Groves Dental Group 2158 N Gilbert Rd Ste 123 Mesa AZ 85203 Ph: (480) 649-7200 | North Groves Dental Group 2158 N Gilbert Rd Ste 123 Mesa AZ 85203 Ph: (480) 649-7200 |
| NPI Number | 1730490228 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730490228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7286 (Arizona) | Primary |
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