| Desert Valley Pediatric Dentistry | |
|
23478 N. Sundance Pkwy West, Suite 103 Buckeye AZ 85326-3118 | |
| (623) 444-9999 | |
| Not Available |
| Full Name | Desert Valley Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 23478 N. Sundance Pkwy West, Suite 103, Buckeye, Arizona |
| Authorized Official Name and Position | Umar Imtiaz (OWNER) |
| Authorized Official Contact | 9783282886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Valley Pediatric Dentistry 23374 W Yuma Rd Ste. 102 Buckeye AZ 85326-3118 Ph: (978) 328-2886 | Desert Valley Pediatric Dentistry 23478 N. Sundance Pkwy West, Suite 103 Buckeye AZ 85326-3118 Ph: (623) 444-9999 |
| NPI Number | 1588922272 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588922272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7256 (Arizona) | Primary |
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