Organization
PEDIATRIC DENTISTRY OF CASA GRANDE
Active
Other names
Molar Magic of Casa Grande
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO MONTANEZ DDS (PEDIATRIC DENTIST/OWNER)
(505) 467-9383
Entity
Organization
Contact information
Practice address
695 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2023
(520) 876-5200
Mailing address
695 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2023
(520) 876-5200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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