Organization · Type 2 NPI
Casa Grande Oral and Maxillofacial Surgery, P.c.
Dental Clinic/Center · Casa Grande, AZ
NPI number
1851569693
Active
Practice location
1876 E Sabin Dr Ste 6
Casa Grande, AZ 85122-6197
Fax (520) 836-2234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 7170 (AZ) |
Dental Clinic/Center: Definition to come...
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About NPI 1851569693
Casa Grande Oral and Maxillofacial Surgery, P.c.'s National Provider Identifier is 1851569693, issued on Feb 14, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Casa Grande, AZ. The record was last updated on Jan 28, 2015.