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7400 S Power Rd Ste 118 Gilbert AZ 85297-9281 | |
| (480) 279-5533 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7400 S Power Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Halls C. Ryan (OWNER) |
| Authorized Official Contact | 4802795533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7400 S Power Rd Ste 118 Gilbert AZ 85297-9281 Ph: (480) 279-5533 | 7400 S Power Rd Ste 118 Gilbert AZ 85297-9281 Ph: (480) 279-5533 |
| NPI Number | 1093907891 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093907891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5920 (Arizona) | Primary |
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