Ge Dental Pllc | |
944 N Gilbert Rd Ste 104 Mesa AZ 85203-5836 | |
(480) 649-7200 | |
Not Available |
Full Name | Ge Dental Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 944 N Gilbert Rd Ste 104, Mesa, Arizona |
Authorized Official Name and Position | Quinton W Gardner (OWNER/DENTIST) |
Authorized Official Contact | 4806497200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ge Dental Pllc 3848 E Mallory St Mesa AZ 85215-1714 Ph: (480) 238-7369 | Ge Dental Pllc 944 N Gilbert Rd Ste 104 Mesa AZ 85203-5836 Ph: (480) 649-7200 |
NPI Number | 1447898481 |
---|---|
Provider Enumeration Date | 12/19/2019 |
Last Update Date | 01/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447898481 | NPI | - | NPPES |
D7791 | Other | AZ | ARIZONA DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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