Organization
MICHAEL JAMES GENGLE DDS LLC
Active
Other names
Michael J Gengle DDS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J GENGLE DDS (MEMBER)
(623) 878-6476
Entity
Organization
Contact information
Practice address
6390 W BELL RD, A1, GLENDALE, AZ 85308-3613
(623) 878-6476
Mailing address
6390 W BELL RD, A1, GLENDALE, AZ 85308-3613
(623) 878-6476
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2007
Last updated
08/22/2020
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