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Individual

DR. GREGORY STEPHEN SIKORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D., M.B.A.

Contact information

Practice address
STATE HWY 264, MILE MARKER 388, POLACCA, AZ 86042
(928) 737-6165
Mailing address
170 E GUADALUPE RD, UNIT 139, GILBERT, AZ 85234-4588
(602) 849-8587

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7680
AZ
1223D0004X
Dental Anesthesiology
D7680 13011379-M
AZ

Other

Enumeration date
11/15/2008
Last updated
02/29/2016
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