| Main Street Dental | |
|
4252 N Verrado Way Ste 105 Buckeye AZ 85396-7596 | |
| (623) 594-8100 | |
| (623) 594-8120 |
| Full Name | Main Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4252 N Verrado Way Ste 105, Buckeye, Arizona |
| Authorized Official Name and Position | Ewa Platacz (OFFICE MANAGER) |
| Authorized Official Contact | 6235948100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental 4252 N Verrado Way Ste 105 Buckeye AZ 85396-7596 Ph: (623) 594-8100 | Main Street Dental 4252 N Verrado Way Ste 105 Buckeye AZ 85396-7596 Ph: (623) 594-8100 |
| NPI Number | 1447649520 |
|---|---|
| Provider Enumeration Date | 01/13/2015 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447649520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5910 (Arizona) | Primary |
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