Organization
VISTA DORADA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SHAYNE GUFFEY DMD (OWNER)
(480) 963-9900
Entity
Organization
Contact information
Practice address
4902 S. VAL VISTA DRIVE, SUITE #107, GILBERT, AZ 85296
(480) 963-9900
Mailing address
4902 S. VAL VISTA DRIVE, SUITE #107, GILBERT, AZ 85296
(480) 963-9900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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