Individual
JARED GIATRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1714 W HUNT HWY STE 100, QUEEN CREEK, AZ 85143-5245
(480) 882-3119
Mailing address
1714 WEST HUNT HWY STE 100, QUEEN CREEK, AZ 85143
(480) 882-3119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2016017466
MO
1223G0001X
General Practice Dentistry
Primary
D009703
AZ
Other
Enumeration date
06/03/2016
Last updated
06/13/2017
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