Organization
GILA RIDGE DENTISTRY WEST LLC
Active
Other names
Gila Ridge Dental West
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2241 S AVENUE A STE 7, YUMA, AZ 85364-8374
(928) 783-0636
(928) 783-0054
Mailing address
2241 S AVENUE A STE 7, YUMA, AZ 85364-8374
(928) 783-0636
(928) 783-0054
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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