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Organization

GILBERT VALLEY DENTAL 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
3592 S ATHERTON BLVD STE 107, GILBERT, AZ 85297-7444
(480) 889-1877
Mailing address
3592 S ATHERTON BLVD STE 107, GILBERT, AZ 85297-7444
(480) 889-1877

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
10/03/2019
Last updated
10/03/2019
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