| Canyon Trails Family Dental- Verrado Llc | |
|
20800 W Market St Ste 107 Buckeye AZ 85396-8040 | |
| (623) 401-2959 | |
| Not Available |
| Full Name | Canyon Trails Family Dental- Verrado Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20800 W Market St Ste 107, Buckeye, Arizona |
| Authorized Official Name and Position | Jenny Garcia-rocha (CREDENTIALING LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Trails Family Dental- Verrado Llc 20800 W Market St Ste 107 Buckeye AZ 85396-8040 Ph: (623) 401-2959 | Canyon Trails Family Dental- Verrado Llc 20800 W Market St Ste 107 Buckeye AZ 85396-8040 Ph: (623) 401-2959 |
| NPI Number | 1265146799 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265146799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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