| My Dental L.l.c. | |
|
725 N Central Ave Ste 109 Avondale AZ 85323-1659 | |
| (623) 322-4575 | |
| (623) 322-4312 |
| Full Name | My Dental L.l.c. |
|---|---|
| Speciality | General Practice |
| Location | 725 N Central Ave Ste 109, Avondale, Arizona |
| Authorized Official Name and Position | Youil G. Mamook (DR./OWNER) |
| Authorized Official Contact | 4803887049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Dental L.l.c. 2001 W Bethany Home Rd Phoenix AZ 85015-2471 Ph: (602) 249-9621 | My Dental L.l.c. 725 N Central Ave Ste 109 Avondale AZ 85323-1659 Ph: (623) 322-4575 |
| NPI Number | 1831675263 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 07/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831675263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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