Individual
DR. PANKAJ RAI GOYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7170 W CAMINO SAN XAVIER STE A101, GLENDALE, AZ 85308-0834
(623) 594-2057
Mailing address
7170 W CAMINO SAN XAVIER STE A101, GLENDALE, AZ 85308-0834
(623) 594-2057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
20022
OH
1223G0001X
General Practice Dentistry
Primary
D7043
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073407
—
AZ
Enumeration date
02/17/2006
Last updated
03/17/2018
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