Organization
GOODYEAR ENDODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STEPHEN KANE D.D.S. (PRESIDENT)
(623) 535-7899
Entity
Organization
Contact information
Practice address
1646 N LITCHFIELD RD, SUITE 260, GOODYEAR, AZ 85395-1203
(623) 535-7899
(623) 535-7821
Mailing address
1646 N LITCHFIELD RD, SUITE 260, GOODYEAR, AZ 85395-1203
(623) 535-7899
(623) 535-7821
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3266
AZ
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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