# MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maryvale Children's Dentistry, Maryvale Children's Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245089952
- **Authorized official:** DR. JESSE MCGUIRE JR. DDS (MEMBER)
- **Authorized official phone:** (480) 432-3363

## Contact information

- **Practice address:** 4700 N 51ST AVE STE 3, PHOENIX, AZ 85031-1237
- **Practice address phone:** (480) 432-3363
- **Mailing address:** 12945 S 176TH LN, GOODYEAR, AZ 85338-5786
- **Mailing address phone:** (480) 432-3363

## Taxonomy

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

## Other

- **Enumeration date:** 05/15/2024
- **Last updated:** 05/15/2024