| Bismark Lake Llc | |
|
14175 W Indian School Rd Ste B6 Goodyear AZ 85395-8490 | |
| (602) 902-0275 | |
| Not Available |
| Full Name | Bismark Lake Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14175 W Indian School Rd Ste B6, Goodyear, Arizona |
| Authorized Official Name and Position | Michael Hunt (OWNER) |
| Authorized Official Contact | 4802804416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bismark Lake Llc 1786 S 141st Pl Gilbert AZ 85295-4752 Ph: () - | Bismark Lake Llc 14175 W Indian School Rd Ste B6 Goodyear AZ 85395-8490 Ph: (602) 902-0275 |
| NPI Number | 1285576058 |
|---|---|
| Provider Enumeration Date | 04/08/2026 |
| Last Update Date | 04/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285576058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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