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Organization
TRAN DENTAL GRP. LLC
Active
Organization
TRAN DENTAL GRP. LLC
Active
Other names
Kidz Connextion Dental Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GRANETO D.M.D. (PRESIDENT/OWNER)
(623) 223-1001
Entity
Organization
Contact information
Practice address
524 E. BASELINE ROAD, PHOENIX, AZ 85042-2300
(602) 276-4004
(602) 276-6117
Mailing address
4727 E BELL RD, SUITE # 45101, PHOENIX, AZ 85032-2308
(623) 223-1001
(623) 873-7440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5376
AZ
Other
Enumeration date
11/29/2012
Last updated
02/18/2014
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