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Organization
GILA FAMILY DENTAL LLC
Active
Organization
GILA FAMILY DENTAL LLC
Active
Other names
Gila Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
7949 E 24TH ST, YUMA, AZ 85365-8602
(928) 317-1900
Mailing address
7949 E 24TH ST, YUMA, AZ 85365-8602
(928) 317-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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