Organization
GILBERT CROSSROADS KIDS' DENTISTS AND ORTHODONTICS, LLP
Active
Other names
Dentists of Gilbert Crossroads
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCDOUGAL DMD (OWNER)
(480) 297-0979
Entity
Organization
Contact information
Practice address
835 S. GILBERT RD, SUITE 104, GILBERT, AZ 85296
(480) 297-0979
(480) 366-4233
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
08/25/2022
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