Organization
NORTH GROVES DENTAL GROUP
Active
Other names
GILBERT ROAD DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JASON KOLE PERKINS D.D.S. (OWNER)
(480) 649-7200
Entity
Organization
Contact information
Practice address
2158 N GILBERT RD, STE 123, MESA, AZ 85203
(480) 649-7200
Mailing address
2158 N GILBERT RD, STE 123, MESA, AZ 85203
(480) 649-7200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7286
AZ
Other
Enumeration date
06/29/2010
Last updated
09/15/2010
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