| Avondale Valley Dental Llc | |
|
10750 W Mcdowell Rd Ste F610 Avondale AZ 85392-5976 | |
| (623) 474-2900 | |
| Not Available |
| Full Name | Avondale Valley Dental Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10750 W Mcdowell Rd Ste F610, Avondale, 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 |
|---|---|
| Avondale Valley Dental Llc 10750 W Mcdowell Rd Ste F610 Avondale AZ 85392-5976 Ph: (623) 474-2900 | Avondale Valley Dental Llc 10750 W Mcdowell Rd Ste F610 Avondale AZ 85392-5976 Ph: (623) 474-2900 |
| NPI Number | 1497396113 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 10/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497396113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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