Implant & Surgical Center Glendale Pllc

NPI #1437550530 in Glendale, Arizona

Provider Information

NPI Number: 1437550530
Entity Type: Organization
Organization Name: Implant & Surgical Center Glendale Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 8, 2014
Last Updated: Sep 10, 2014

Practice Location

Address: 7170 W CAMINO SAN XAVIER
Address 2: A-100
City: Glendale
State: Arizona
ZIP Code: 85308-0833
Phone: (623) 594-2057

Authorized Official

Name: JASON BARTON
Title: DDS
Phone: (623) 594-2057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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