Individual
AKETZALLI GAMEZ LIZARRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. M. D.
Contact information
Practice address
781 S COTTON LN STE 100, GOODYEAR, AZ 85338-4644
(623) 882-3636
Mailing address
781 S COTTON LN STE 100, GOODYEAR, AZ 85338-4644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010068
AZ
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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