| Healthy Teeth Family Dentistry | |
|
10630 N 59th Ave Suite#101 Glendale AZ 85304-1239 | |
| (623) 878-0117 | |
| (623) 878-6396 |
| Full Name | Healthy Teeth Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 10630 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Harjot Kaur Brar (OWNER) |
| Authorized Official Contact | 6238780117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Teeth Family Dentistry 10630 N 59th Ave Suite#101 Glendale AZ 85304-1239 Ph: (623) 878-0117 | Healthy Teeth Family Dentistry 10630 N 59th Ave Suite#101 Glendale AZ 85304-1239 Ph: (623) 878-0117 |
| NPI Number | 1972886646 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 09/20/2011 |
| Medicare PECOS PAC ID | 2668697566 |
|---|---|
| Medicare Enrollment ID | O20140709001927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972886646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6397 (Arizona) | Primary |
| Provider Name | Harjot Bains |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1720192578 PECOS PAC ID: 3577788470 Enrollment ID: I20140829000285 |
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