Horizon Dental Group New River

NPI #1770015992 in New River, Arizona

Provider Information

NPI Number: 1770015992
Entity Type: Organization
Organization Name: Horizon Dental Group New River
Primary Specialty: Dentist
Enumeration Date: Mar 28, 2017
Last Updated: Mar 28, 2017

Practice Location

Address: 46641 N BLACK CANYON HWY STE 7
City: New River
State: Arizona
ZIP Code: 85087-6941
Phone: (623) 742-7220

Authorized Official

Name: DR. MARK COSTES, DDS
Title: OWNER/ DENTIST
Phone: (928) 636-1565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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