Organization
A G CORP INC
Active
Other names
Dentistry at Greenway
Organization subpart
No
Provider details
NPI number
Authorized official
TAROLL ANN GRAZIANO BS (INSURANCE COORDINATOR)
(623) 582-9622
Entity
Organization
Contact information
Practice address
16630 W GREENWAY RD, SUITE 319, SURPRISE, AZ 85388-2185
(623) 582-9622
(623) 537-5430
Mailing address
16630 W GREENWAY RD, SUITE 319, SURPRISE, AZ 85388-2185
(623) 582-9622
(623) 537-5430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008962
AZ
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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