# MARYVALE DENTAL STUDIO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205441136
- **Authorized official:** DR. MANPREET BADYAL DDS (MEMBER)
- **Authorized official phone:** (480) 205-6961

## Contact information

- **Practice address:** 7614 W INDIAN SCHOOL RD \# 2, PHOENIX, AZ 85033-3035
- **Practice address phone:** (623) 849-0053
- **Mailing address:** 7614 W INDIAN SCHOOL RD \# 2, PHOENIX, AZ 85033-3035
- **Mailing address phone:** (623) 849-0053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2020
- **Last updated:** 09/08/2020