Organization
PHOENIX ARIZONA DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE AYOUB DMD (PART OWNER)
(623) 536-2040
Entity
Organization
Contact information
Practice address
4365 E. PECOS DRIVE BLDG 7 SUITE 106-107, GILBERT, AZ 85295
(602) 254-2489
Mailing address
14150 W. MCDOWELL RD, GOODYEAR, AZ 85395
(602) 254-2489
(623) 536-8555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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