| Maricopa Family Dental Llc | |
|
20046 N. John Wayne Pkwy Suite 105 Maricopa AZ 85139 | |
| (520) 316-6100 | |
| (520) 568-7312 |
| Full Name | Maricopa Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20046 N. John Wayne Pkwy, Maricopa, Arizona |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maricopa Family Dental Llc 20046 N. John Wayne Pkwy Suite 105 Maricopa AZ 85139 Ph: (520) 316-6100 | Maricopa Family Dental Llc 20046 N. John Wayne Pkwy Suite 105 Maricopa AZ 85139 Ph: (520) 316-6100 |
| NPI Number | 1831731587 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 10/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831731587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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