Organization
SCOTTSDALE PROSTHODONTISTS II, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GIBBONS DMD (PROSTHODONTIST)
(480) 368-0060
Entity
Organization
Contact information
Practice address
11111 N SCOTTSDALE RD STE 220, SCOTTSDALE, AZ 85254-6732
(480) 368-0060
Mailing address
11111 N SCOTTSDALE RD STE 220, SCOTTSDALE, AZ 85254-6732
(480) 368-0600
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2139
AZ
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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