# MOUNTAIN RANCH FAMILY & COSMETIC DENTISTRY

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

## Provider details

- **NPI number:** 1235022278
- **Authorized official:** DIANE SPAULDING (OFFICE MANAGER)
- **Authorized official phone:** (623) 327-0231

## Contact information

- **Practice address:** 17650 W ELLIOT RD STE A120, GOODYEAR, AZ 85338-9013
- **Practice address phone:** (623) 327-0231
- **Practice address fax:** (623) 327-9158
- **Mailing address:** 17650 W ELLIOT RD STE A120, GOODYEAR, AZ 85338-9013
- **Mailing address phone:** (623) 327-0231

## Taxonomy

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

## Other

- **Enumeration date:** 05/29/2025
- **Last updated:** 05/29/2025