Organization
ELLIOT ROAD DENTAL PLLC
Active
Other names
Do Good Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2010 E ELLIOT RD STE 105, TEMPE, AZ 85284-1790
(480) 839-7996
Mailing address
2010 E ELLIOT RD STE 105, TEMPE, AZ 85284-1790
(480) 839-7996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/31/2019
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