# DOCTORS OF DENTISTRY

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

## Provider details

- **NPI number:** 1427130913
- **Authorized official:** DR. JOHN C GRANETO DMD (PRES)
- **Authorized official phone:** (623) 931-3794

## Contact information

- **Practice address:** 5945 W BETHANY HOME RD, GLENDALE, AZ 85301-5104
- **Practice address phone:** (623) 931-3794
- **Practice address fax:** (623) 931-2567
- **Mailing address:** 17809 N 55TH PL, SCOTTSDALE, AZ 85254-5841
- **Mailing address phone:** (602) 971-0791
- **Mailing address fax:** (623) 931-2567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3883 | AZ | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 04/10/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 130724 | AHCCCS | AZ |