| Canyon Trails Dental Care, Pc | |
|
500 N Estrella Pkwy Suite B1 Goodyear AZ 85338-4135 | |
| (623) 882-0782 | |
| Not Available |
| Full Name | Canyon Trails Dental Care, Pc |
|---|---|
| Speciality | Dentist |
| Location | 500 N Estrella Pkwy, Goodyear, Arizona |
| Authorized Official Name and Position | Mark Delwyn Wheeler (OWNER DENTIST) |
| Authorized Official Contact | 6238820782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Trails Dental Care, Pc 500 N Estrella Pkwy Suite B1 Goodyear AZ 85338-4135 Ph: (623) 882-0782 | Canyon Trails Dental Care, Pc 500 N Estrella Pkwy Suite B1 Goodyear AZ 85338-4135 Ph: (623) 882-0782 |
| NPI Number | 1043356058 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043356058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5594 (Arizona) | Primary |
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