Organization
GENTLE HANDS DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED POPE DDS (OWNER)
(480) 332-6111
Entity
Organization
Contact information
Practice address
6036 N 19TH AVE STE 210, PHOENIX, AZ 85015-2104
(602) 433-2992
Mailing address
4146 NEUMAN RD, SAINT CLAIR, MI 48079-3234
(810) 941-8983
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5625
AZ
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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