Organization
ROD W GORE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROD W GORE DDS (OWNER)
(480) 585-6225
Entity
Organization
Contact information
Practice address
8535 E HARTFORD DR, STE 208, SCOTTSDALE, AZ 85255-5438
(480) 585-6225
Mailing address
8535 E HARTFORD DR, STE 208, SCOTTSDALE, AZ 85255-5438
(480) 585-6225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3767
AZ
Other
Enumeration date
04/26/2012
Last updated
07/02/2012
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