Buenhombre Dental Pllc

NPI #1225442213 in Goodyear, Arizona

Provider Information

NPI Number: 1225442213
Entity Type: Organization
Organization Name: Buenhombre Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 17, 2014
Last Updated: Jun 17, 2014

Practice Location

Address: 15581 W MACKENZIE DR
City: Goodyear
State: Arizona
ZIP Code: 85395-7779
Phone: (520) 429-6957

Authorized Official

Name: DR. CALEB GRANT GOODMAN, DMD
Title: MEMBER/MANAGER
Phone: (520) 429-6957

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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