Good Life Dental | |
20061 E Rittenhouse Rd Queen Creek AZ 85142-9715 | |
(435) 637-2100 | |
Not Available |
Full Name | Good Life Dental |
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Speciality | Clinic/center - Dental |
Location | 20061 E Rittenhouse Rd, Queen Creek, Arizona |
Authorized Official Name and Position | Marvin Blane Jackson (OWNER/DENTIST) |
Authorized Official Contact | 4356372100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Good Life Dental 250 N Fairgrounds Rd Ste 1 Price UT 84501-4201 Ph: () - | Good Life Dental 20061 E Rittenhouse Rd Queen Creek AZ 85142-9715 Ph: (435) 637-2100 |
NPI Number | 1104539303 |
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Provider Enumeration Date | 01/03/2023 |
Last Update Date | 01/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104539303 | NPI | - | NPPES |
1265624332 | Other | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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