Pediatric Dentistry of Casa Grande
NPI #1558995951 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1558995951
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry of Casa Grande
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 25, 2020
- Last Updated
- Feb 25, 2020
Practice Location
- Address
- 695 E COTTONWOOD LN
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-2023
- Phone
- (520) 876-5200
Authorized Official
- Name
- DR. MARIO MONTANEZ, DDS
- Title
- PEDIATRIC DENTIST/OWNER
- Phone
- (505) 467-9383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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