Organization
PALM VALLEY PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA DOLGHIER (DMD)
(623) 535-7873
Entity
Organization
Contact information
Practice address
14555 W INDIAN SCHOOL RD, SUITE 420, GOODYEAR, AZ 85395-9210
(623) 535-7873
(623) 535-3937
Mailing address
14555 W INDIAN SCHOOL RD., SUITE 420, GOODYEAR, AZ 85395
(623) 535-7873
(623) 535-3937
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
D7221
AZ
1223P0221X
Pediatric Dentistry
Primary
D7306
AZ
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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