institution
Maryland Garden Dental
Dental Clinic/Center in Phoenix, Arizona
NPI 1659586774

Maryland Garden Dental is a Dental Clinic/Center based in Phoenix, AZ and is specialized in Dental. Maryland Garden Dental practices in Phoenix, AZ. The NPI Number for Maryland Garden Dental is 1659586774 and holds a License No. 4954 (Arizona).

The current practice location address for Maryland Garden Dental is 650 W Maryland Ave, Phoenix, AZ and can be reached out via phone at 602-249-1616 and via fax at 602-249-1138.

Location: 650 W Maryland Ave, Phoenix, AZ, 85013-1399
institution
Provider Profile Details
NPI Number
1659586774
Provider Name
Maryland Garden Dental
Credential
Provider Entity Type
Organization
Address
650 W Maryland Ave, Phoenix, AZ, 85013-1399
Phone Number
602-249-1616
Fax Number
602-249-1138
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
450966 01 AZ HEALTH CHOICE
250891 01 AZ CIGNA HMO
16354 01 AZ DORAL
169853 01 AZ UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
650 W Maryland Ave
City
State
Zip
85013-1399
Phone Number
602-249-1616
Fax Number
602-249-1138
person
Provider Business Mailing Address Details
Address
650 W Maryland Ave
City
State
Zip
85013-1399
Phone Number
602-249-1616
Fax Number
602-249-1138
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
4954 (Arizona)
Definition
Definition to come...
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