Organization
GOODYEAR DENTAL LLC
Active
Other names
Goodyear Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUZ M PEREZ (OFFICE MANAGER)
(602) 577-4065
Entity
Organization
Contact information
Practice address
650 N ESTRELLA PKWY STE A5, GOODYEAR, AZ 85338-9283
(623) 322-1399
Mailing address
650 N ESTRELLA PKWY STE A5, GOODYEAR, AZ 85338-9283
(623) 322-1399
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/16/2022
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