| Molar Magic, Llc-cooolidge | |
|
1501 N Arizona Blvd Coolidge AZ 85128-3215 | |
| (520) 123-0077 | |
| (480) 393-0926 |
| Full Name | Molar Magic, Llc-cooolidge |
|---|---|
| Speciality | Dentist |
| Location | 1501 N Arizona Blvd, Coolidge, Arizona |
| Authorized Official Name and Position | Thien Chi Pham (OWNER) |
| Authorized Official Contact | 5207230077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molar Magic, Llc-cooolidge 1501 N Arizona Blvd Coolidge AZ 85128-3215 Ph: (520) 123-0077 | Molar Magic, Llc-cooolidge 1501 N Arizona Blvd Coolidge AZ 85128-3215 Ph: (520) 123-0077 |
| NPI Number | 1932486693 |
|---|---|
| Provider Enumeration Date | 11/09/2011 |
| Last Update Date | 11/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932486693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6854 (Arizona) | Primary |
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