Individual
GEORGE DAVID MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2876 N PINAL AVE STE 4, CASA GRANDE, AZ 85122-7944
(520) 374-2225
Mailing address
12601 N GRANVILLE CANYON WAY, ORO VALLEY, AZ 85755-8936
(847) 280-0471
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011122
AZ
1223G0001X
General Practice Dentistry
D011122
AZ
Other
Enumeration date
07/19/2021
Last updated
06/25/2026
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