| Western Dental Of Arizona, Inc. | |
|
1348 E Florence Blvd 7 Casa Grande AZ 85122-5361 | |
| (520) 316-4287 | |
| (520) 316-4291 |
| Full Name | Western Dental Of Arizona, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1348 E Florence Blvd, Casa Grande, Arizona |
| Authorized Official Name and Position | Soledad Navarro (PPO COORDINATOR) |
| Authorized Official Contact | 7144803000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Dental Of Arizona, Inc. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Western Dental Of Arizona, Inc. 1348 E Florence Blvd 7 Casa Grande AZ 85122-5361 Ph: (520) 316-4287 |
| NPI Number | 1285041020 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 07/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285041020 | NPI | - | NPPES |
| G92150 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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