Organization
GOODYEAR ENDODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STEPHEN KANE D.D.S. (PRESIDENT)
(623) 535-7899
Entity
Organization
Contact information
Practice address
1646 N LITCHFIELD RD, #260, GOODYEAR, AZ 85395-1387
(623) 535-7899
Mailing address
1646 N LITCHFIELD RD, #260, GOODYEAR, AZ 85395-1387
(623) 535-7899
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3266
AZ
Other
Enumeration date
04/22/2007
Last updated
10/10/2013
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