Organization
DESERT SUMMIT DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ROY GABRIEL DDS (OWNER/DENTIST)
(623) 376-7233
Entity
Organization
Contact information
Practice address
21681 N 77TH AVE STE 1420, PEORIA, AZ 85382-2133
(623) 376-7233
(623) 376-7234
Mailing address
21681 N 77TH AVE STE 1420, PEORIA, AZ 85382-2133
(623) 376-7233
(623) 376-7234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DO3749
AZ
122300000X
Dentist
DOO8946
AZ
124Q00000X
Dental Hygienist
HO2603
AZ
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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