Individual
DR. GUSTAVO TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 222-6424
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 222-6424
(602) 222-6585
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
6311
AZ
Other
Enumeration date
11/01/2006
Last updated
02/16/2009
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