Individual
MR. GERALD LEE DIQUATTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1545 E UNIVERSITY, MESA, AZ 85203
(480) 834-9001
(480) 844-8206
Mailing address
3910 E GREENWAY CIRCLE, MESA, AZ 85205
(480) 830-6860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2132
AZ
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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