| Horizon Dental Group New River | |
|
46641 N Black Canyon Hwy Ste 7 New River AZ 85087-6941 | |
| (623) 742-7220 | |
| (928) 458-7090 |
| Full Name | Horizon Dental Group New River |
|---|---|
| Speciality | Dentist |
| Location | 46641 N Black Canyon Hwy Ste 7, New River, Arizona |
| Authorized Official Name and Position | Mark Costes (OWNER/ DENTIST) |
| Authorized Official Contact | 9286361565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Dental Group New River 46641 N Black Canyon Hwy Ste 7 New River AZ 85087-6941 Ph: (623) 742-7220 | Horizon Dental Group New River 46641 N Black Canyon Hwy Ste 7 New River AZ 85087-6941 Ph: (623) 742-7220 |
| NPI Number | 1770015992 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 03/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770015992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5634 (Arizona) | Primary |
| 122300000X | Dentist | D008994 (Arizona) | Secondary |
Bishara Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 46641 N Black Canyon Hwy Ste 7, New River, AZ 85087 Phone: 623-742-7220 Fax: 623-742-7332 |