Individual
MR. GABRIEL MATHEW SCHMIDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5295 E KNIGHT DRIVE, TUCSON, AZ 85712
(520) 885-9977
(520) 546-1880
Mailing address
5295 E KNIGHT DRIVE, TUCSON, AZ 85712
(520) 885-9977
(520) 546-1880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5859
AZ
1223G0001X
General Practice Dentistry
Primary
AZ5859
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200482488
TAX ID
AZ
Enumeration date
10/10/2006
Last updated
01/18/2024
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