Organization
MOUNTAIN WEST SURGERY & SEDATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH GILGE DDS (FOUNDER)
(360) 867-8617
Entity
Organization
Contact information
Practice address
432 BUTTERFIELD RD, CHINO VALLEY, AZ 86323-5613
(928) 636-1565
Mailing address
3714 E WINDSONG DR, PHOENIX, AZ 85048-7900
(360) 867-8617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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