Organization
MOUNTAIN RANCH FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SPAULDING (OFFICE MANAGER)
(623) 327-0231
Entity
Organization
Contact information
Practice address
17650 W ELLIOT RD STE A120, GOODYEAR, AZ 85338-9013
(623) 327-0231
(623) 327-9158
Mailing address
17650 W ELLIOT RD STE A120, GOODYEAR, AZ 85338-9013
(623) 327-0231
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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