Organization
PAVILION DENTAL GROUP, LLP
Active
Other names
PAVILION DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM P BLOCK DDS (OWNER DOCTOR)
(623) 572-0893
Entity
Organization
Contact information
Practice address
9947 W HAPPY VALLEY RD STE 101, PEORIA, AZ 85383-1214
(623) 572-0893
(623) 566-0770
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
12/31/2013
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