Organization
DC DENTAL, LLC
Active
Other names
Tiny Teeth Dental Care - Goodyear
Organization subpart
No
Provider details
NPI number
Authorized official
TONY NAVARRA (VICE PRESIDENT)
(602) 889-4333
Entity
Organization
Contact information
Practice address
15661 W. ROOSEVELT STREET, SUITE 102, GOODYEAR, AZ 85338
(623) 882-1400
(623) 882-1300
Mailing address
4244 N 19TH AVE, PHOENIX, AZ 85015-5108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/16/2009
Last updated
09/08/2009
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