Marketside Street Dental LLC
NPI #1952020612 in Buckeye, Arizona
Provider Information
- NPI Number
- 1952020612
- Entity Type
- Organization
- Organization Name
- Marketside Street Dental LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 25, 2022
- Last Updated
- Sep 29, 2022
Practice Location
Authorized Official
- Name
- JENNY GARCIA
- Title
- CREDENTIALING LEAD
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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