| 59th Avenue Dentistry | |
|
8519 N 59th Ave Glendale AZ 85302-5401 | |
| (801) 602-3985 | |
| Not Available |
| Full Name | 59th Avenue Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8519 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Matthew Reed Parker (OWNER) |
| Authorized Official Contact | 8016023985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 59th Avenue Dentistry 8519 N 59th Ave Glendale AZ 85302-5401 Ph: (801) 602-3985 | 59th Avenue Dentistry 8519 N 59th Ave Glendale AZ 85302-5401 Ph: (801) 602-3985 |
| NPI Number | 1962763003 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962763003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D008419 (Arizona) | Primary |
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