Organization
OSBORN ROAD DENTAL LLC
Active
Other names
Dentistry of Old Town Scottsdale
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
7449 E OSBORN RD STE 4, SCOTTSDALE, AZ 85251-6448
(480) 945-3723
(480) 945-2067
Mailing address
7449 E OSBORN RD STE 4, SCOTTSDALE, AZ 85251-6448
(480) 945-3723
(480) 945-2067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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