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Organization

MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS PLLC

Active
Other names
Maryvale Children's Dentistry, Maryvale Children's Dentistry and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSE MCGUIRE JR. DDS (MEMBER)
(480) 432-3363
Entity
Organization

Contact information

Practice address
4700 N 51ST AVE STE 3, PHOENIX, AZ 85031-1237
(480) 432-3363
Mailing address
12945 S 176TH LN, GOODYEAR, AZ 85338-5786
(480) 432-3363

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/15/2024
Last updated
05/15/2024
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