Organization
THIRD MILLENNIUM DENTAL GROUP
Active
Other names
smile fitness dental center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS GORDON D.D.S. (PRESIDENT)
(623) 362-8200
Entity
Organization
Contact information
Practice address
8284 W UNION HILLS DR, GLENDALE, AZ 85308-8170
(623) 362-8200
(623) 362-8244
Mailing address
8284 W UNION HILLS DR, GLENDALE, AZ 85308-8170
(623) 362-8200
(623) 362-8244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2191
AZ
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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