| 59th Ave Dentistry Ltd | |
|
8519 N 59th Ave Glendale AZ 85302 | |
| (623) 939-6574 | |
| (623) 939-3091 |
| Full Name | 59th Ave Dentistry Ltd |
|---|---|
| Speciality | Dentist |
| Location | 8519 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Don Jean Lamb (PRESIDENT) |
| Authorized Official Contact | 6239396574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 59th Ave Dentistry Ltd 8519 N 59th Ave Glendale AZ 85302 Ph: (623) 939-6574 | 59th Ave Dentistry Ltd 8519 N 59th Ave Glendale AZ 85302 Ph: (623) 939-6574 |
| NPI Number | 1235194655 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235194655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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