Individual
CANDACE FAITH GERSHKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4235 W. THUNDERBIRD RD, PHOENIX, AZ 85053
(215) 914-2157
(215) 914-2177
Mailing address
11402 N CAVE CREEK RD, PHOENIX, AZ 85020
(480) 577-1958
(215) 914-2177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008704
AZ
1223G0001X
General Practice Dentistry
DS038758
PA
Other
Enumeration date
07/08/2011
Last updated
04/22/2020
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