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Organization
PEDIATRIC DENTISTRY OF CASA GRANDE
Active
Organization
PEDIATRIC DENTISTRY OF CASA GRANDE
Active
Other names
Molar Magic of Casa Grande
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO MONTANEZ DDS (PEDIATRIC DENTIST/OWNER)
(505) 467-9383
Entity
Organization
Contact information
Practice address
695 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2023
(520) 876-5200
Mailing address
695 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2023
(520) 876-5200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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