Organization
ISLAND DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDE JEFFERSON ADAMS DDS (OWNER)
(480) 507-9400
Entity
Organization
Contact information
Practice address
1489 W ELLIOT RD STE 101, GILBERT, AZ 85233-5168
(480) 507-9400
(480) 507-9474
Mailing address
1489 W ELLIOT RD STE 101, GILBERT, AZ 85233-5168
(480) 507-9400
(480) 507-9474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AZ5662
AZ
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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