# THE GROVE FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144112517
- **Authorized official:** DR. BRADY GARRETT DDS (DENTIST)
- **Authorized official phone:** (480) 384-0588

## Contact information

- **Practice address:** 17215 N 72ND DR STE A100, GLENDALE, AZ 85308-8557
- **Practice address phone:** (623) 872-6080
- **Practice address fax:** (623) 872-6090
- **Mailing address:** 25885 N 93RD AVE, PEORIA, AZ 85383-1257
- **Mailing address phone:** (480) 384-0588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2025
- **Last updated:** 07/18/2025