Southwest Dental Professionals Pllc

NPI #1154622249 in Queen Creek, Arizona

Provider Information

NPI Number: 1154622249
Entity Type: Organization
Organization Name: Southwest Dental Professionals Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 5, 2010
Last Updated: Nov 5, 2010

Practice Location

Address: 316 W ANGUS RD
City: Queen Creek
State: Arizona
ZIP Code: 85143-4989
Phone: (480) 390-2060

Authorized Official

Name: DR. LAWRENCE G GROOP, DMD
Title: OWNER/PRES
Phone: (480) 664-1449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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