Individual
DR. GREGORY R GIORDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
907 E COTTONWOOD LN STE 1, KID1, CASA GRANDE, AZ 85122-2226
(520) 876-5431
(520) 876-4875
Mailing address
907 E COTTONWOOD LN STE 1, KID1, CASA GRANDE, AZ 85122-2226
(520) 876-5431
(520) 876-4875
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5180
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
736481
—
AZ
01
—
AZ0412130
BCBS PROVIDER NUMBER
AZ
Enumeration date
10/24/2006
Last updated
02/12/2015
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