Goodyear Modern Dentistry, LLP

NPI #1912497504 in Goodyear, Arizona

Provider Information

NPI Number: 1912497504
Entity Type: Organization
Organization Name: Goodyear Modern Dentistry, LLP
Primary Specialty: Dentist
Enumeration Date: May 18, 2018
Last Updated: May 18, 2018

Practice Location

Address: 15260 WEST MCDOWELL RD
City: Goodyear
State: Arizona
ZIP Code: 85395
Phone: (623) 207-7838

Authorized Official

Name: RAKESH D PEMA, DDS
Title: OWNER
Phone: (623) 207-7838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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