Individual
MICHAEL J GENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, DDS
Contact information
Practice address
9787 N 91ST ST, # 101, SCOTTSDALE, AZ 85258-5088
(480) 845-0429
(480) 563-8009
Mailing address
10488 E MERCER LN, SCOTTSDALE, AZ 85259-6509
(623) 680-4831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D3023
AZ
363A00000X
Physician Assistant
Primary
5304
AZ
Other
Enumeration date
05/01/2007
Last updated
02/27/2013
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