# GOODYEAR DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goodyear Dental LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023762895
- **Authorized official:** MRS. LUZ M PEREZ (OFFICE MANAGER)
- **Authorized official phone:** (602) 577-4065

## Contact information

- **Practice address:** 650 N ESTRELLA PKWY STE A5, GOODYEAR, AZ 85338-9283
- **Practice address phone:** (623) 322-1399
- **Mailing address:** 650 N ESTRELLA PKWY STE A5, GOODYEAR, AZ 85338-9283
- **Mailing address phone:** (623) 322-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 02/16/2022