Organization
BUCKEYE MODERN DENTISTRY, LLP
Active
Other names
Buckeye Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DON PARKER DDS (OWNER)
(623) 267-4676
Entity
Organization
Contact information
Practice address
946 S WATSON RD STE 101, BUCKEYE, AZ 85326-3430
(623) 267-4676
(623) 505-1128
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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