| Goodman Dental Center | |
|
18610 E Rittenhouse Rd Ste A103 Queen Creek AZ 85142-4504 | |
| (480) 807-4000 | |
| (480) 807-4002 |
| Full Name | Goodman Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18610 E Rittenhouse Rd Ste A103, Queen Creek, Arizona |
| Authorized Official Name and Position | Brian J Goodman (OWNER) |
| Authorized Official Contact | 4808074000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodman Dental Center 18610 E Rittenhouse Rd Ste A103 Queen Creek AZ 85142-4504 Ph: (480) 807-4000 | Goodman Dental Center 18610 E Rittenhouse Rd Ste A103 Queen Creek AZ 85142-4504 Ph: (480) 807-4000 |
| NPI Number | 1326533605 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326533605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7280 (Arizona) | Primary |
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