Desert Vista Dental West Pllc

NPI #1548307424 in Goodyear, Arizona

Provider Information

NPI Number: 1548307424
Entity Type: Organization
Organization Name: Desert Vista Dental West Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 31, 2007
Last Updated: Oct 15, 2015

Practice Location

Address: 1646 N LITCHFIELD RD
Address 2: SUITE 125
City: Goodyear
State: Arizona
ZIP Code: 85395-1203
Phone: (623) 935-2755

Authorized Official

Name: MS. STACY K CORDOVA
Title: OFFICE MANAGER
Phone: (623) 935-2755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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