Organization
GIBBONS DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
3333 E BASELINE RD, GILBERT, AZ 85234-2633
(480) 892-9190
(480) 545-9671
Mailing address
3333 E BASELINE RD, GILBERT, AZ 85234-2633
(480) 892-9190
(480) 545-9671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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