Individual
DR. GARY MICHAEL GRADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6945 E SAHUARO DR, SUITE A-1, SCOTTSDALE, AZ 85254-6722
(480) 998-7500
(480) 998-7889
Mailing address
6945 E SAHUARO DR, SUITE A-1, SCOTTSDALE, AZ 85254-6722
(480) 998-7500
(480) 998-7889
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1702
AZ
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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