# PHOENICIA DENTAL GROUP, PC

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

## Provider details

- **NPI number:** 1477388213
- **Authorized official:** GEORGE AYOUB D.D.S (PRESIDENT)
- **Authorized official phone:** (623) 536-2040

## Contact information

- **Practice address:** 14150 W MCDOWELL RD, GOODYEAR, AZ 85395
- **Practice address phone:** (623) 536-2040
- **Practice address fax:** (623) 536-8555
- **Mailing address:** 14150 W MCDOWELL RD, GOODYEAR, AZ 85395
- **Mailing address phone:** (623) 536-2040
- **Mailing address fax:** (623) 536-8555

## Taxonomy

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

## Other

- **Enumeration date:** 09/03/2024
- **Last updated:** 11/12/2024