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
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 - DentalDental

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