| Wild West Orthodontics | |
|
14122 W Mcdowell Rd 200 Goodyear AZ 85395-2503 | |
| (623) 535-6603 | |
| Not Available |
| Full Name | Wild West Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 14122 W Mcdowell Rd, Goodyear, Arizona |
| Authorized Official Name and Position | Mary H Ruiz (REGIONAL MANAGER) |
| Authorized Official Contact | 6235362040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild West Orthodontics 14122 W Mcdowell Rd 200 Goodyear AZ 85395-2503 Ph: (623) 535-6603 | Wild West Orthodontics 14122 W Mcdowell Rd 200 Goodyear AZ 85395-2503 Ph: (623) 535-6603 |
| NPI Number | 1649629361 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 06/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649629361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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