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Organization
GLENDALE DENTISTRY GROUP
Active
Organization
GLENDALE DENTISTRY GROUP
Active
Other names
Arizona Aesthetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAROLL ANN GRAZIANO BA (MANAGER)
(602) 242-1996
Entity
Organization
Contact information
Practice address
7102 N 35TH AVE, SUITE 1, PHOENIX, AZ 85051-8390
(602) 242-1996
(602) 242-1477
Mailing address
7102 N 35TH AVE, SUITE 1, PHOENIX, AZ 85051-8390
(602) 242-1996
(602) 242-1477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7840
AZ
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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