| Laveen Modern Dentistry | |
|
5045 W Baseline Rd Ste 135 Laveen AZ 85339-7394 | |
| (602) 237-0613 | |
| Not Available |
| Full Name | Laveen Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5045 W Baseline Rd Ste 135, Laveen, Arizona |
| Authorized Official Name and Position | Amanda Girardi (DENTIST) |
| Authorized Official Contact | 2094812544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laveen Modern Dentistry 3036 W Mohawk Ln Phoenix AZ 85027-3117 Ph: () - | Laveen Modern Dentistry 5045 W Baseline Rd Ste 135 Laveen AZ 85339-7394 Ph: (602) 237-0613 |
| NPI Number | 1154856177 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154856177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9657 (Arizona) | Primary |
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Laveen Modern Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5045 W Baseline Rd Ste 135, Laveen, AZ 85339 Phone: 602-237-0613 Fax: 602-237-0365 | |
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