Villago Marketplace Dental Care Pc | |
2876 N Pinal Ave Suite 4 Casa Grande AZ 85222 | |
(520) 374-2225 | |
Not Available |
Full Name | Villago Marketplace Dental Care Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 2876 N Pinal Ave, Casa Grande, Arizona |
Authorized Official Name and Position | Mark Delwyn Wheeler (DENTIST/OWNER) |
Authorized Official Contact | 5203742225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Villago Marketplace Dental Care Pc 2876 N Pinal Ave Suite 4 Casa Grande AZ 85222 Ph: (520) 374-2225 | Villago Marketplace Dental Care Pc 2876 N Pinal Ave Suite 4 Casa Grande AZ 85222 Ph: (520) 374-2225 |
NPI Number | 1639333479 |
---|---|
Provider Enumeration Date | 07/10/2008 |
Last Update Date | 07/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639333479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5594 (Arizona) | Primary |
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