Organization
GLENDALE DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
5664 W BELL RD, GLENDALE, AZ 85308-3868
(602) 978-3500
(602) 978-9252
Mailing address
5664 W BELL RD, GLENDALE, AZ 85308-3868
(602) 978-3500
(602) 978-9252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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