| Dental Specialty Associates | |
|
2730 S Val Vista Dr Suite 164 Gilbert AZ 85295-1675 | |
| (480) 633-9977 | |
| (480) 633-3730 |
| Full Name | Dental Specialty Associates |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2730 S Val Vista Dr, Gilbert, Arizona |
| Authorized Official Name and Position | Brian A Lilien (OWNER) |
| Authorized Official Contact | 4806339977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialty Associates 2730 S Val Vista Dr Suite 164 Gilbert AZ 85295-1675 Ph: () - | Dental Specialty Associates 2730 S Val Vista Dr Suite 164 Gilbert AZ 85295-1675 Ph: (480) 633-9977 |
| NPI Number | 1114180320 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114180320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | D3985 (Arizona) | Primary |
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