Impressions at Casa Grande Plc

NPI #1083060339 in Casa Grande, Arizona

Provider Information

NPI Number: 1083060339
Entity Type: Organization
Organization Name: Impressions at Casa Grande Plc
Primary Specialty: Dentist
Enumeration Date: May 5, 2016
Last Updated: May 5, 2016

Practice Location

Address: 1677 E FLORENCE BLVD STE 24
City: Casa Grande
State: Arizona
ZIP Code: 85122-4786
Phone: (520) 374-2400

Authorized Official

Name: DR. SPENCER D WEED, DDS
Title: DENTIST/ OWNER
Phone: (520) 374-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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