Organization
VALLEY ORTHODONTIC GROUP LLC
Active
Organization
VALLEY ORTHODONTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JAMES GROB D.D.S., M.S. (ORTHODONTIST)
(520) 490-7864
Entity
Organization
Contact information
Practice address
522 W. FIRST ST, UNIT 101, TEMPE, AZ 85281
(520) 490-7864
(520) 297-9410
Mailing address
522 W. FIRST ST, UNIT 101, TEMPE, AZ 85281
(520) 490-7864
(520) 297-9410
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
AZ3317
AZ
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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