| Coronado Dental Services, Inc. | |
|
610 N Alma School Road Suite 4 Chandler AZ 85224-3687 | |
| (480) 461-8683 | |
| (480) 964-4171 |
| Full Name | Coronado Dental Services, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 610 N Alma School Road, Chandler, Arizona |
| Authorized Official Name and Position | Phillip M Hendrix (DOCTOR) |
| Authorized Official Contact | 4804618683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coronado Dental Services, Inc. 610 N Alma School Road Suite 4 Chandler AZ 85224-3687 Ph: (480) 461-8683 | Coronado Dental Services, Inc. 610 N Alma School Road Suite 4 Chandler AZ 85224-3687 Ph: (480) 461-8683 |
| NPI Number | 1932278025 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 01/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932278025 | NPI | - | NPPES |
| 188286 | Medicaid | AZ | |
| 46654101 | Medicaid | AZ | |
| 49124101 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5032 (Arizona) | Primary |
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