Valley Orthodontic Group/ Peoria P.l.l.c.

NPI #1932608353 in Peoria, Arizona

Provider Information

NPI Number: 1932608353
Entity Type: Organization
Organization Name: Valley Orthodontic Group/ Peoria P.l.l.c.
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Feb 12, 2018
Last Updated: Feb 12, 2018

Practice Location

Address: 25225 N LAKE PLEASANT PKWY STE 1240
City: Peoria
State: Arizona
ZIP Code: 85383-1390
Phone: (623) 572-2683

Authorized Official

Name: DANIEL J GROB, DDS, MS
Title: OWNER/ORTHODONTIST
Phone: (480) 490-7848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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