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1177 S Watson Rd Ste 107 Buckeye AZ 85326-3465 | |
| (623) 244-0636 | |
| (623) 235-6308 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1177 S Watson Rd Ste 107, Buckeye, Arizona |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1177 S Watson Rd Ste 107 Buckeye AZ 85326-3465 Ph: (623) 244-0636 | 1177 S Watson Rd Ste 107 Buckeye AZ 85326-3465 Ph: (623) 244-0636 |
| NPI Number | 1851992879 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 02/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851992879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Canyon Trails Family Dental- Verrado Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20800 W Market St Ste 107, Buckeye, AZ 85396 Phone: 623-401-2959 | |
Sonoran Dental Studio, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 S Watson Rd Ste 201, Buckeye, AZ 85326 Phone: 623-242-4205 | |
Sandstone Oral Maxillofacial Surgery Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20755 W Mcdowell Rd # 111, Buckeye, AZ 85396 Phone: 623-439-2222 |