| Avondale Dental | |
|
10665 W Indian School Rd Suite J Avondale AZ 85392-5642 | |
| (623) 772-5362 | |
| (623) 772-6036 |
| Full Name | Avondale Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10665 W Indian School Rd, Avondale, Arizona |
| Authorized Official Name and Position | Michael David Hummitzsch (OWNER) |
| Authorized Official Contact | 6237725362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avondale Dental 10665 W Indian School Rd Suite J Avondale AZ 85392-5642 Ph: (623) 772-5362 | Avondale Dental 10665 W Indian School Rd Suite J Avondale AZ 85392-5642 Ph: (623) 772-5362 |
| NPI Number | 1215320551 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 03/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215320551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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