Organization
GE DENTAL PLLC
Active
Other names
Gilbert Road Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINTON W GARDNER DMD (OWNER/DENTIST)
(480) 649-7200
Entity
Organization
Contact information
Practice address
944 N GILBERT RD STE 104, MESA, AZ 85203-5836
(480) 649-7200
Mailing address
3848 E MALLORY ST, MESA, AZ 85215-1714
(480) 238-7369
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D7791
ARIZONA DENTAL LICENSE
AZ
Enumeration date
12/19/2019
Last updated
01/10/2020
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