# KARUN GABA DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205305000
- **Authorized official:** DR. KARUN GABA DMD (OWNER)
- **Authorized official phone:** (602) 399-9663

## Contact information

- **Practice address:** 10320 W MCDOWELL RD STE A1001, AVONDALE, AZ 85392-4865
- **Practice address phone:** (623) 242-6001
- **Practice address fax:** (623) 242-6006
- **Mailing address:** 15288 W BROOKSIDE LN STE 131, SURPRISE, AZ 85374-3990
- **Mailing address phone:** (623) 251-4346
- **Mailing address fax:** (623) 251-4767

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2018
- **Last updated:** 01/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 560706 | — | AZ |