Organization
THE GOOD DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA JONES (MANAGER)
(623) 302-0220
Entity
Organization
Contact information
Practice address
821 W WICKENBURG WAY, WICKENBURG, AZ 85390-4263
(928) 684-1000
Mailing address
821 W WICKENBURG WAY, WICKENBURG, AZ 85390-4263
(623) 302-0220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
04/19/2023
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