Organization
SCOTTSDALE PROSTHODONTISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GIBBONS (DOCTOR/PRESIDENT)
(480) 368-0060
Entity
Organization
Contact information
Practice address
7477 E DOUBLETREE RANCH RD, SUITE 200, SCOTTSDALE, AZ 85258-2048
(480) 368-0060
Mailing address
7477 E DOUBLETREE RANCH RD, SUITE 200, SCOTTSDALE, AZ 85258-2048
(480) 368-0060
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D2139
AZ
Other
Enumeration date
07/17/2008
Last updated
06/16/2010
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