Organization
AGAVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUKA M. DILL (PRESIDENT)
(520) 876-9955
Entity
Organization
Contact information
Practice address
2028 N TREKELL RD, #107/#108, CASA GRANDE, AZ 85222-1326
(520) 876-9955
Mailing address
2028 N TREKELL RD, #107/#108, CASA GRANDE, AZ 85222-1326
(520) 876-9955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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