Organization
GREGORY L. TEN EYCK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY LOUIS TEN EYCK DDS (OWNER)
(602) 438-9245
Entity
Organization
Contact information
Practice address
2233 W BASELINE RD, SUITE 104, TEMPE, AZ 85283-1495
(602) 438-9245
(602) 438-8695
Mailing address
2233 W BASELINE RD, SUITE 104, TEMPE, AZ 85283-1495
(602) 438-9245
(602) 438-8695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3906
AZ
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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