Organization
HORIZON DENTAL GROUP NEW RIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK COSTES DDS (OWNER/ DENTIST)
(928) 636-1565
Entity
Organization
Contact information
Practice address
46641 N BLACK CANYON HWY STE 7, NEW RIVER, AZ 85087-6941
(623) 742-7220
(928) 458-7090
Mailing address
46641 N BLACK CANYON HWY STE 7, NEW RIVER, AZ 85087-6941
(623) 742-7220
(928) 458-7090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008994
AZ
122300000X
Dentist
Primary
D5634
AZ
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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