Icon Dental Pllc | |
7435 W Lower Buckeye Rd Phoenix AZ 85043-7636 | |
(623) 432-0700 | |
(866) 892-0774 |
Full Name | Icon Dental Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 7435 W Lower Buckeye Rd, Phoenix, Arizona |
Authorized Official Name and Position | Robert Z Badalov (OWNER) |
Authorized Official Contact | 6234320700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Icon Dental Pllc 7435 W Lower Buckeye Rd Phoenix AZ 85043-7636 Ph: (623) 432-0700 | Icon Dental Pllc 7435 W Lower Buckeye Rd Phoenix AZ 85043-7636 Ph: (623) 432-0700 |
NPI Number | 1245740182 |
---|---|
Provider Enumeration Date | 10/05/2017 |
Last Update Date | 10/05/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245740182 | NPI | - | NPPES |
1235163270 | Other | AZ | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D05930 (Arizona) | Primary |
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