DESERT MOUNTAIN ENDODONTICS
Managed Care Organizations at Lake Pleasant Rd, Peoria, AZ

License number
Arizona 8110
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: DR. JACK CASALE D.D.S.
Title: PRESIDENT
Phone: (623) 594-2888
Address
Address
20542 N Lake Pleasant Rd #113, Peoria, AZ 85382
National Provider ID: 1609284801
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DESERT MOUNTAIN ENDODONTICS, INC

Peoria, AZ  -  Las Vegas, NV

Doing business as:
Desert Mountain Endodontics
Registration:
Aug 13, 2013
Phone:
(623) 594-2888 (Phone)
Addresses:
20542 N Lk Peasant Rd #113, Peoria, AZ 85382 (Physical)
101 Convention Denter Dr #700, Las Vegas, NV 89109 (Foreign)
20542 N Lk Pleasant Rd STE 113, Peoria, AZ 85382
State ID:
F-1848779-8
Expiration:
PERPETUAL
President:
Jack H Casale (President), 20542 N Lk Peasant Rd #113, Peoria, AZ 85382 (Physical)
Categories:
Dentists

Desert Mountain Endodontics In

20542 N Lk Pleasant Rd, Peoria, AZ 85382

Industry:
Nonclassifiable Establishments

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