Individual
ANTHONY JOHN GEROULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4317 E MCDOWELL RD, PHOENIX, AZ 85008-4501
(602) 633-0405
Mailing address
1941 E PHELPS RD, PHOENIX, AZ 85022-6265
(602) 561-2740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011482
AZ
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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