Organization
LIGHTHALL FAMILY DENTISTRY OF GILBERT PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SKYLAR ALAN LIGHTHALL D.D.S. (OWNER/DENTIST)
(480) 807-6453
Entity
Organization
Contact information
Practice address
3509 S MERCY RD, SUITE 107, GILBERT, AZ 85297-0442
(480) 807-6453
(480) 814-9005
Mailing address
3509 S MERCY RD, SUITE 107, GILBERT, AZ 85297-0442
(480) 807-6453
(480) 814-9005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D0008620
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
908239
—
AZ
Enumeration date
10/06/2014
Last updated
10/06/2014
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