# ROBERT G. GRIEGO, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699966267
- **Authorized official:** DR. ROBERT G. GRIEGO D.D.S. (PRESIDENT)
- **Authorized official phone:** (602) 978-4400

## Contact information

- **Practice address:** 4025 W BELL RD, SUITE 13, PHOENIX, AZ 85053-2750
- **Practice address phone:** (602) 978-4400
- **Practice address fax:** (602) 978-3162
- **Mailing address:** 4025 W BELL RD, SUITE 13, PHOENIX, AZ 85053-2750
- **Mailing address phone:** (602) 978-4400
- **Mailing address fax:** (602) 978-3162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | AZ1539 | AZ | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 08/07/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1223G0001X | DENTIST | AZ |