Organization
IMPLANT & SURGICAL CENTER GLENDALE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BARTON (DDS)
(623) 594-2057
Entity
Organization
Contact information
Practice address
7170 W CAMINO SAN XAVIER, A-100, GLENDALE, AZ 85308-0833
(623) 594-2057
(623) 594-1928
Mailing address
7170 W CAMINO SAN XAVIER, A-100, GLENDALE, AZ 85308-0833
(623) 594-2057
(623) 594-1928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D07907
AZ
Other
Enumeration date
09/08/2014
Last updated
09/10/2014
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