Maryvale Children's Dentistry And Orthodontics Pllc | |
4700 N 51st Ave Ste 3 Phoenix AZ 85031-1237 | |
(480) 432-3363 | |
Not Available |
Full Name | Maryvale Children's Dentistry And Orthodontics Pllc |
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Speciality | Clinic/center - Dental |
Location | 4700 N 51st Ave Ste 3, Phoenix, Arizona |
Authorized Official Name and Position | Jesse Mcguire (MEMBER) |
Authorized Official Contact | 4804323363 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maryvale Children's Dentistry And Orthodontics Pllc 12945 S 176th Ln Goodyear AZ 85338-5786 Ph: (480) 432-3363 | Maryvale Children's Dentistry And Orthodontics Pllc 4700 N 51st Ave Ste 3 Phoenix AZ 85031-1237 Ph: (480) 432-3363 |
NPI Number | 1245089952 |
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Provider Enumeration Date | 05/15/2024 |
Last Update Date | 05/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245089952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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