| Impressions Dental | |
|
442 W Kortsen Rd Suite 104 Casa Grande AZ 85222-5913 | |
| (520) 374-2400 | |
| (520) 374-2500 |
| Full Name | Impressions Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 442 W Kortsen Rd, Casa Grande, Arizona |
| Authorized Official Name and Position | Kelly Brandon Wettstein (OWNER) |
| Authorized Official Contact | 4808148888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impressions Dental 442 W Kortsen Rd Suite 104 Casa Grande AZ 85222-5913 Ph: (520) 374-2400 | Impressions Dental 442 W Kortsen Rd Suite 104 Casa Grande AZ 85222-5913 Ph: (520) 374-2400 |
| NPI Number | 1851521918 |
|---|---|
| Provider Enumeration Date | 07/22/2009 |
| Last Update Date | 07/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851521918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7749 (Arizona) | Primary |
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