| Desert Vista Dental West Pllc | |
|
1646 N Litchfield Rd Suite 125 Goodyear AZ 85395-1203 | |
| (623) 935-2755 | |
| (623) 935-0265 |
| Full Name | Desert Vista Dental West Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1646 N Litchfield Rd, Goodyear, Arizona |
| Authorized Official Name and Position | Stacy K Cordova (OFFICE MANAGER) |
| Authorized Official Contact | 6239352755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Vista Dental West Pllc 1646 N Litchfield Rd Suite 125 Goodyear AZ 85395-1203 Ph: (623) 935-2755 | Desert Vista Dental West Pllc 1646 N Litchfield Rd Suite 125 Goodyear AZ 85395-1203 Ph: (623) 935-2755 |
| NPI Number | 1548307424 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 10/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548307424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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