| Avelle Gilbert Ortho Llc | |
|
4365 E Pecos Rd Ste 136 Gilbert AZ 85295-8053 | |
| (253) 283-2747 | |
| Not Available |
| Full Name | Avelle Gilbert Ortho Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4365 E Pecos Rd Ste 136, Gilbert, Arizona |
| Authorized Official Name and Position | Ethan Larson (DOCTOR) |
| Authorized Official Contact | 2532832747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avelle Gilbert Ortho Llc 4365 E Pecos Rd Ste 136 Gilbert AZ 85295-8053 Ph: () - | Avelle Gilbert Ortho Llc 4365 E Pecos Rd Ste 136 Gilbert AZ 85295-8053 Ph: (253) 283-2747 |
| NPI Number | 1538867460 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 02/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538867460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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