| Goodyear Modern Dentistry | |
|
15260 West Mcdowell Rd Goodyear AZ 85395 | |
| (623) 207-7838 | |
| (623) 522-8972 |
| Full Name | Goodyear Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 15260 West Mcdowell Rd, Goodyear, Arizona |
| Authorized Official Name and Position | Rakesh D Pema (OWNER) |
| Authorized Official Contact | 6232077838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodyear Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8500 | Goodyear Modern Dentistry 15260 West Mcdowell Rd Goodyear AZ 85395 Ph: (623) 207-7838 |
| NPI Number | 1912497504 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 05/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912497504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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