| Rancho Santa Fe Dental Group | |
|
13048 W Rancho Santa Fe Blvd 114 Avondale AZ 85392-1705 | |
| (623) 536-3377 | |
| (623) 536-3088 |
| Full Name | Rancho Santa Fe Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13048 W Rancho Santa Fe Blvd, Avondale, Arizona |
| Authorized Official Name and Position | My-anh T Tran (OWNER) |
| Authorized Official Contact | 6235363377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Santa Fe Dental Group 13048 W Rancho Santa Fe Blvd 114 Avondale AZ 85392-1705 Ph: (623) 536-3377 | Rancho Santa Fe Dental Group 13048 W Rancho Santa Fe Blvd 114 Avondale AZ 85392-1705 Ph: (623) 536-3377 |
| NPI Number | 1821305798 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 04/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821305798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6970 (Arizona) | Primary |
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