Organization
VISTANCIA DENTAL GROUP, PROFESSIONAL CORPORATION
Active
Other names
VISTANCIA DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL S GEBHART DDS (OWNER DOCTOR)
(623) 218-6638
Entity
Organization
Contact information
Practice address
28451 NORTH VISTANCIA BLVD, SUITE 101, PEORIA, AZ 85383
(623) 218-6638
(623) 218-6937
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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