# SAHUARITA MODERN DENTISTRY AND ORTHODONTICS, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sahiarita Modern Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124304472
- **Authorized official:** DR. PAUL S GEBHART DDS (OWNER DOCTOR)
- **Authorized official phone:** (520) 625-4850

## Contact information

- **Practice address:** 18726 SOUTH NOGALES HWY SUITE 100, GREEN VALLEY, AZ 85614
- **Practice address phone:** (520) 625-4850
- **Practice address fax:** (520) 625-4950
- **Mailing address:** 2860 MICHELLE FL 2, IRVINE, CA 92606-1008
- **Mailing address phone:** (714) 368-2077
- **Mailing address fax:** (714) 368-2092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 11/01/2011