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Organization

ROBERT G. GRIEGO, D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT G. GRIEGO D.D.S. (PRESIDENT)
(602) 978-4400
Entity
Organization

Contact information

Practice address
4025 W BELL RD, SUITE 13, PHOENIX, AZ 85053-2750
(602) 978-4400
(602) 978-3162
Mailing address
4025 W BELL RD, SUITE 13, PHOENIX, AZ 85053-2750
(602) 978-4400
(602) 978-3162

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AZ1539
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1223G0001X
DENTIST
AZ
Enumeration date
08/07/2007
Last updated
08/07/2007
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