| Goodyear Dental Llc | |
|
650 N Estrella Pkwy Ste A5 Goodyear AZ 85338-9283 | |
| (623) 322-1399 | |
| Not Available |
| Full Name | Goodyear Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 650 N Estrella Pkwy Ste A5, Goodyear, Arizona |
| Authorized Official Name and Position | Luz M Perez (OFFICE MANAGER) |
| Authorized Official Contact | 6025774065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodyear Dental Llc 650 N Estrella Pkwy Ste A5 Goodyear AZ 85338-9283 Ph: (623) 322-1399 | Goodyear Dental Llc 650 N Estrella Pkwy Ste A5 Goodyear AZ 85338-9283 Ph: (623) 322-1399 |
| NPI Number | 1023762895 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023762895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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