| Elliot Road Dental - Island Pllc | |
|
1489 W Elliot Rd Ste 101 Gilbert AZ 85233-5168 | |
| (480) 507-9400 | |
| Not Available |
| Full Name | Elliot Road Dental - Island Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1489 W Elliot Rd Ste 101, Gilbert, Arizona |
| Authorized Official Name and Position | Faith Gaskins (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliot Road Dental - Island Pllc 1489 W Elliot Rd Ste 101 Gilbert AZ 85233-5168 Ph: (480) 507-9400 | Elliot Road Dental - Island Pllc 1489 W Elliot Rd Ste 101 Gilbert AZ 85233-5168 Ph: (480) 507-9400 |
| NPI Number | 1639846165 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639846165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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