| NPI | 1023762895 |
|---|---|
| Doing Business As | GOODYEAR DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | LUZ M PEREZ Office Manager 602-577-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-16 |