Organization
FESTIVAL DENTAL GROUP, LLP
Active
Other names
FESTIVAL DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MALLORY DDS (OWNER DOCTOR)
(623) 584-4015
Entity
Organization
Contact information
Practice address
13869 W. BELL ROAD, SUITE 103, SURPRISE, AZ 85374
(623) 584-4015
(623) 584-4557
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
09/07/2010
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