Organization
MOBILE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIOT BAGLEY (OWNER)
(480) 862-0641
Entity
Organization
Contact information
Practice address
3823 E CAVALRY CT, GILBERT, AZ 85297-9572
(480) 862-0641
Mailing address
3823 E CAVALRY CT, GILBERT, AZ 85297-9572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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