Individual
MARC GERONIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4550 E THOMAS RD, PHOENIX, AZ 85018-7610
(602) 281-7072
Mailing address
2524 E PRESCOTT CT, GILBERT, AZ 85298-2331
(619) 871-2763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
54258
CA
1223G0001X
General Practice Dentistry
Primary
D008545
AZ
Other
Enumeration date
11/21/2006
Last updated
07/21/2022
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