Organization
GILA FAMILY DENTAL LLC
Active
Other names
Gila Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
7949 E 24TH ST, YUMA, AZ 85365-8602
(928) 317-1900
Mailing address
7949 E 24TH ST, YUMA, AZ 85365-8602
(928) 317-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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