Aketzalli Gamez Lizarraga, D. M. D.
Dentist in Goodyear, AZ. Individual provider (NPI-1).
NPI number1073006243
StatusActive
Last updated in NPPESJun 12, 2018
Details
- NPI
- 1073006243
- Entity type
- Individual (NPI-1)
- Name
- Aketzalli Gamez Lizarraga
- Credential
- D. M. D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2018
- Last updated
- Jun 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D010068 | AZ | Yes |
Practice location
781 S Cotton Ln Ste 100Goodyear, AZ 85338-4644
Phone 623-882-3636
Mailing address
781 S Cotton Ln Ste 100Goodyear, AZ 85338-4644
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