# GOLD CANYON CONTEMPORARY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GOLD CANYON CONTEMPORARY DENTISTRY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467956425
- **Legal business name:** GOLD CANYON CONTEMPORARY DENTISTRY
- **Authorized official:** DR. MICHAEL S. GRAMS D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (480) 287-2793

## Contact information

- **Practice address:** 6900 E. US HIGHWAY 60 STE. \#110, GOLD CANYON, AZ 85118
- **Practice address phone:** (480) 983-3444
- **Mailing address:** 6900 E. US HIGHWAY 60 STE. \#110, GOLD CANYON, AZ 85118
- **Mailing address phone:** (480) 983-3444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7505 | AZ | Yes |

## Other

- **Enumeration date:** 03/22/2018
- **Last updated:** 03/22/2018