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Organization

GOLD CANYON CONTEMPORARY DENTISTRY

Active
Parent organization
GOLD CANYON CONTEMPORARY DENTISTRY
Organization subpart
Yes

Provider details

NPI number
Legal business name
GOLD CANYON CONTEMPORARY DENTISTRY
Authorized official
DR. MICHAEL S. GRAMS D.D.S. (OWNER/DENTIST)
(480) 287-2793
Entity
Organization

Contact information

Practice address
6900 E. US HIGHWAY 60 STE. #110, GOLD CANYON, AZ 85118
(480) 983-3444
Mailing address
6900 E. US HIGHWAY 60 STE. #110, GOLD CANYON, AZ 85118
(480) 983-3444

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7505
AZ

Other

Enumeration date
03/22/2018
Last updated
03/22/2018
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