Organization
VILLAGO MARKETPLACE DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DELWYN WHEELER DMD (DENTIST/OWNER)
(520) 374-2225
Entity
Organization
Contact information
Practice address
2876 N PINAL AVE, SUITE 4, CASA GRANDE, AZ 85222
(520) 374-2225
Mailing address
2876 N PINAL AVE, SUITE 4, CASA GRANDE, AZ 85222
(520) 374-2225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5594
AZ
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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