| Valley Orthodontic Group LLC | |
|
522 W. First St Unit 101 Tempe AZ 85281 | |
| (520) 490-7864 | |
| (520) 297-9410 |
| Full Name | Valley Orthodontic Group LLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 522 W. First St, Tempe, Arizona |
| Authorized Official Name and Position | Daniel James Grob (ORTHODONTIST) |
| Authorized Official Contact | 5204907864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Orthodontic Group LLC 522 W. First St Unit 101 Tempe AZ 85281 Ph: (520) 490-7864 | Valley Orthodontic Group LLC 522 W. First St Unit 101 Tempe AZ 85281 Ph: (520) 490-7864 |
| NPI Number | 1255626651 |
|---|---|
| Provider Enumeration Date | 06/14/2011 |
| Last Update Date | 06/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255626651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | AZ3317 (Arizona) | Primary |
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