Michael J. Radcliffe, Dmd,pc | |
5155 N 16th St Phoenix AZ 85016-3917 | |
(602) 265-5155 | |
(602) 212-0958 |
Full Name | Michael J. Radcliffe, Dmd,pc |
---|---|
Speciality | Dentist - General Practice |
Location | 5155 N 16th St, Phoenix, Arizona |
Authorized Official Name and Position | Michael J. Radcliffe (OWNER) |
Authorized Official Contact | 6022655155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michael J. Radcliffe, Dmd,pc 5155 N 16th St Phoenix AZ 85016-3917 Ph: (602) 265-5155 | Michael J. Radcliffe, Dmd,pc 5155 N 16th St Phoenix AZ 85016-3917 Ph: (602) 265-5155 |
NPI Number | 1114145455 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114145455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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