Organization
ADVALOR PLC
Active
Other names
Gary D Oreskovich DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J ELLINGSON DMD (MEMBER)
(480) 286-4471
Entity
Organization
Contact information
Practice address
1526 W GLENDALE AVE STE 107, PHOENIX, AZ 85021-8576
(602) 995-7279
Mailing address
1526 W GLENDALE AVE STE 107, PHOENIX, AZ 85021-8576
(602) 995-7279
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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