Organization
HDP CASA GRANDE DENTAL LLC
Active
Other names
DM Family Dentistry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1968 N PEART RD STE 22, CASA GRANDE, AZ 85122-2497
(520) 426-0404
Mailing address
1968 N PEART RD STE 22, CASA GRANDE, AZ 85122-2497
(520) 426-0404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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