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Organization
THIRD MILLENNIUM DENTAL GROUP
Active
Organization
THIRD MILLENNIUM DENTAL GROUP
Active
Other names
smile fitness dental center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS GORDON D.D.S. (PRESIDENT)
(623) 362-8200
Entity
Organization
Contact information
Practice address
8284 W UNION HILLS DR, GLENDALE, AZ 85308-8170
(623) 362-8200
(623) 362-8244
Mailing address
8284 W UNION HILLS DR, GLENDALE, AZ 85308-8170
(623) 362-8200
(623) 362-8244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2191
AZ
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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