| New Image Dentistry Pllc | |
|
17235 N 75th Ave Ste A100 Glendale AZ 85308-0884 | |
| (623) 825-9445 | |
| (623) 825-9446 |
| Full Name | New Image Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17235 N 75th Ave Ste A100, Glendale, Arizona |
| Authorized Official Name and Position | Raul Gomez (OWNER/GENERAL MANAGER) |
| Authorized Official Contact | 6238259445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dentistry Pllc 17235 N 75th Ave Ste A100 Glendale AZ 85308-0884 Ph: (623) 825-9445 | New Image Dentistry Pllc 17235 N 75th Ave Ste A100 Glendale AZ 85308-0884 Ph: (623) 825-9445 |
| NPI Number | 1417462664 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417462664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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