Organization
DR KATERINA GONCHAROVA DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EKATERINA N GONCHAROVA DDS (DENTIST OWNER)
(480) 986-5860
Entity
Organization
Contact information
Practice address
2853 S SOSSAMAN RD, A110, MESA, AZ 85212
(480) 986-5860
(480) 986-5870
Mailing address
2853 S SOSSAMAN RD, A110, MESA, AZ 85212
(480) 986-5860
(480) 986-5870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5808
AZ
Other
Enumeration date
04/27/2006
Last updated
03/24/2010
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