Organization
GALAXY DENTISTRY FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JESSICA MARTINEZ (BILLING MANAGER)
(602) 820-0288
Entity
Organization
Contact information
Practice address
515 E GRANT RD, TUCSON, AZ 85705-5797
(602) 820-0288
Mailing address
14100 N 83RD AVE STE 280, PEORIA, AZ 85381-5660
(602) 820-0288
(602) 930-4965
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190421
—
AZ
Enumeration date
11/23/2020
Last updated
11/23/2020
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