|
| |
|
23478 N. Sundance Pkwy West, Suite 103 Buckeye AZ 85326-3118 | |
| (623) 444-9999 | |
| Not Available |
| Full Name | |
|---|---|
| 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 |
|---|---|
23374 W Yuma Rd Ste. 102 Buckeye AZ 85326-3118 Ph: (978) 328-2886 | 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 |
Canyon Trails Family Dental- Verrado Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20800 W Market St Ste 107, Buckeye, AZ 85396 Phone: 623-401-2959 | |
Sonoran Dental Studio, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 S Watson Rd Ste 201, Buckeye, AZ 85326 Phone: 623-242-4205 | |
Sandstone Oral Maxillofacial Surgery Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20755 W Mcdowell Rd # 111, Buckeye, AZ 85396 Phone: 623-439-2222 |