Icon Dental Pllc

NPI #1245740182 in Phoenix, Arizona

Provider Information

NPI Number
1245740182
Entity Type
Organization
Organization Name
Icon Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 5, 2017
Last Updated
Oct 5, 2017

Practice Location

Address
7435 W LOWER BUCKEYE RD
State
Arizona
ZIP Code
85043-7636
Phone
(623) 432-0700

Authorized Official

Name
DR. ROBERT Z BADALOV, DDS
Title
OWNER
Phone
(623) 432-0700

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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