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Organization
PHOENIX ARIZONA DENTAL GROUP INC
Active
Organization
PHOENIX ARIZONA DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE AYOUB DMD (PART OWNER)
(623) 536-2040
Entity
Organization
Contact information
Practice address
4365 E. PECOS DRIVE BLDG 7 SUITE 106-107, GILBERT, AZ 85295
(602) 254-2489
Mailing address
14150 W. MCDOWELL RD, GOODYEAR, AZ 85395
(602) 254-2489
(623) 536-8555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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