# PAVILION DENTAL GROUP, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PAVILION DENTAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568622025
- **Authorized official:** DR. ADAM P BLOCK DDS (OWNER DOCTOR)
- **Authorized official phone:** (623) 572-0893

## Contact information

- **Practice address:** 9947 W HAPPY VALLEY RD STE 101, PEORIA, AZ 85383-1214
- **Practice address phone:** (623) 572-0893
- **Practice address fax:** (623) 566-0770
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (949) 474-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 12/31/2013