Individual
GREGORY SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13395 N MARANA MAIN STREET, MARANA, AZ 85653
(520) 616-6200
(520) 682-1087
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 682-4570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4973
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460593
—
AZ
Enumeration date
07/21/2006
Last updated
08/03/2011
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