Saul Edgardo Grajales in Phoenix - Periodontics
Saul Edgardo Grajales - NPI 1033171889
Saul Edgardo Grajales is a Periodontics in Phoenix, Arizona. Saul Edgardo Grajales practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Saul Edgardo Grajales is 1033171889. The last update date is 2017-01-10.
Saul Edgardo Grajales's current location address is 4202 N 32nd St, Phoenix, Arizona. You can contact this provider via phone number 6029560650 and fax number 6029560730. The mailing address for Saul Edgardo Grajales is 4202 N 32nd St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Saul Edgardo Grajales |
|---|---|
| Address | 4202 N 32nd St, Phoenix, Arizona |
| Phone Number | 6029560650 |
| Fax Number | 6029560730 |
| Sole Proprietor | Y |
| Credentials | DMD MSD |
NPI Number Detail
| NPI Number | 1033171889 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2017-01-10 |
Provider Mailing Address Detail
| Address | 4202 N 32nd St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850184746 |
| Phone Number | 6029560650 |
| Fax Number | 6029560730 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D4716 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identification code assigned to Saul Edgardo Grajales by the Centers for Medicare & Medicaid Services?
The Saul Edgardo Grajales has been issued the NPI (National Provider Identifier) 1033171889. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Saul Edgardo Grajales's physical address?
The Saul Edgardo Grajales is physically located at 4202 N 32Nd St, in the city of Phoenix, AZ, with the postal code 850184746.
What is Saul Edgardo Grajales's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Saul Edgardo Grajales's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033171889 to Saul Edgardo Grajales?
The Centers for Medicare & Medicaid Services originally issued the 1033171889 to Saul Edgardo Grajales on 2006-04-06.
When was the Saul Edgardo Grajales's information last updated?
The Saul Edgardo Grajales's information was last updated on 2017-01-10.
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