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Organization

DENTISTS AT BUCKEYE COMMONS, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANE MEDINA (OWNER)
(714) 845-8500
Entity
Organization

Contact information

Practice address
20650 W ROOSEVELT STREET, SUITE 111, BUCKEYE, AZ 85326
(480) 347-0780
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/27/2025
Last updated
08/27/2025
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