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Organization

TRAN DENTAL GRP. LLC

Active
Other names
Kidz Connextion Dental Centers
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN GRANETO D.M.D. (PRESIDENT/OWNER)
(623) 223-1001
Entity
Organization

Contact information

Practice address
524 E. BASELINE ROAD, PHOENIX, AZ 85042-2300
(602) 276-4004
(602) 276-6117
Mailing address
4727 E BELL RD, SUITE # 45101, PHOENIX, AZ 85032-2308
(623) 223-1001
(623) 873-7440

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5376
AZ

Other

Enumeration date
11/29/2012
Last updated
02/18/2014
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