| |
1300 S Watson Rd Suite A-100 Buckeye AZ 85326-6303 | |
(623) 386-3333 | |
(623) 386-3544 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1300 S Watson Rd, Buckeye, Arizona |
Authorized Official Name and Position | Kyong H Yi (PRESIDENT) |
Authorized Official Contact | 6233863333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1300 S Watson Rd Suite A-100 Buckeye AZ 85326-6303 Ph: (623) 386-3333 | 1300 S Watson Rd Suite A-100 Buckeye AZ 85326-6303 Ph: (623) 386-3333 |
NPI Number | 1437435906 |
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Provider Enumeration Date | 10/28/2011 |
Last Update Date | 12/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437435906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6436 (Arizona) | Primary |
Canyon Trails Family Dental- Verrado Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20800 W Market St Ste 107, Buckeye, AZ 85396 Phone: 623-401-2959 | |
Sonoran Dental Studio, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 S Watson Rd Ste 201, Buckeye, AZ 85326 Phone: 623-242-4205 | |
Sandstone Oral Maxillofacial Surgery Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20755 W Mcdowell Rd # 111, Buckeye, AZ 85396 Phone: 623-439-2222 |