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Organization
NORTH GROVES DENTAL GROUP
Active
Organization
NORTH GROVES DENTAL GROUP
Active
Other names
GILBERT ROAD DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JASON KOLE PERKINS D.D.S. (OWNER)
(480) 649-7200
Entity
Organization
Contact information
Practice address
2158 N GILBERT RD, STE 123, MESA, AZ 85203
(480) 649-7200
Mailing address
2158 N GILBERT RD, STE 123, MESA, AZ 85203
(480) 649-7200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7286
AZ
Other
Enumeration date
06/29/2010
Last updated
09/15/2010
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