Coyote Ridge Family Dentistry | |
8141 W Camelback Rd Suite 3 Phoenix AZ 85033-1050 | |
(623) 848-9100 | |
(623) 247-3917 |
Full Name | Coyote Ridge Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 8141 W Camelback Rd, Phoenix, Arizona |
Authorized Official Name and Position | Ki Ngo (PRESIDENT OWNER) |
Authorized Official Contact | 4809170181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coyote Ridge Family Dentistry 8141 W Camelback Rd Suite 3 Phoenix AZ 85033-1050 Ph: (623) 848-9100 | Coyote Ridge Family Dentistry 8141 W Camelback Rd Suite 3 Phoenix AZ 85033-1050 Ph: (623) 848-9100 |
NPI Number | 1285853671 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285853671 | NPI | - | NPPES |
1808900 | Other | AZ | UCCI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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