Individual
DR. KATHARINE TATE GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1959 S VAL VISTA DR STE 118, MESA, AZ 85204-7357
(480) 750-0017
Mailing address
2545 E MALLORY ST, MESA, AZ 85213-1517
(480) 603-8043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010036
AZ
Other
Enumeration date
05/30/2018
Last updated
12/07/2022
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