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Organization
HDP CASA GRANDE DENTAL LLC
Active
Organization
HDP CASA GRANDE DENTAL LLC
Active
Other names
DM Family Dentistry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1968 N PEART RD STE 22, CASA GRANDE, AZ 85122-2497
(520) 426-0404
Mailing address
1968 N PEART RD STE 22, CASA GRANDE, AZ 85122-2497
(520) 426-0404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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