| Daniel Ponce, Dds | |
|
23374 W Yuma Rd Suite 102 Buckeye AZ 85326-3118 | |
| (623) 444-9999 | |
| (623) 444-6745 |
| Full Name | Daniel Ponce, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23374 W Yuma Rd, Buckeye, Arizona |
| Authorized Official Name and Position | Daniel Ponce (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6462346578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Ponce, Dds 23374 W Yuma Rd Suite 102 Buckeye AZ 85326-3118 Ph: (623) 444-9999 | Daniel Ponce, Dds 23374 W Yuma Rd Suite 102 Buckeye AZ 85326-3118 Ph: (623) 444-9999 |
| NPI Number | 1366811473 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366811473 | NPI | - | NPPES |
| 031072 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9153 (Arizona) | Primary |
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