| Palm Valley Pediatric Dentistry | |
|
14555 W Indian School Rd Suite 420 Goodyear AZ 85395-9210 | |
| (623) 535-7873 | |
| (623) 535-3937 |
| Full Name | Palm Valley Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14555 W Indian School Rd, Goodyear, Arizona |
| Authorized Official Name and Position | Olga Dolghier (DMD) |
| Authorized Official Contact | 6235357873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Valley Pediatric Dentistry 14555 W Indian School Rd. Suite 420 Goodyear AZ 85395 Ph: (623) 535-7873 | Palm Valley Pediatric Dentistry 14555 W Indian School Rd Suite 420 Goodyear AZ 85395-9210 Ph: (623) 535-7873 |
| NPI Number | 1255705919 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255705919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D7306 (Arizona) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | D7221 (Arizona) | Secondary |
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