| Galaxy Dentistry For Children | |
|
515 E Grant Rd Tucson AZ 85705-5797 | |
| (602) 820-0288 | |
| Not Available |
| Full Name | Galaxy Dentistry For Children |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 515 E Grant Rd, Tucson, Arizona |
| Authorized Official Name and Position | Jessica Martinez (BILLING MANAGER) |
| Authorized Official Contact | 6028200288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galaxy Dentistry For Children 14100 N 83rd Ave Ste 280 Peoria AZ 85381-5660 Ph: (602) 820-0288 | Galaxy Dentistry For Children 515 E Grant Rd Tucson AZ 85705-5797 Ph: (602) 820-0288 |
| NPI Number | 1457955213 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457955213 | NPI | - | NPPES |
| 190421 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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