Individual
YUKTI GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 S SIGNAL BUTTE RD STE 101, MESA, AZ 85208-3908
(480) 582-1199
Mailing address
1113 S SIGNAL BUTTE RD STE 101, MESA, AZ 85208-3908
(480) 582-1199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010473
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31860
TEXAS DENTAL LICENSE
TX
01
—
D010473
ARIZONA DENTAL LICENSE
AZ
Enumeration date
09/16/2015
Last updated
08/14/2019
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