Lillian Gandara DDS

NPI 1003877382 - Dentist - 1223G0001X

NPI Details
NPI 1003877382
Gender Female
Enumeration Date 03/28/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1904 W PARKSIDE LN
SUITE 201
PHOENIX AZ, 85027-1228, US
Phone (623) 434-9343
Fax (623) 321-6268
Business Location
7022 E NELSON DR
TUCSON AZ, 85730-1718, US
Phone (623) 434-9343
Fax (623) 321-6268
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 20097
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According to our database, Dr. Lillian Gandara DDS NPI is 1003877382, taxonomy code is 1223G0001X and license number is 20097, license state is located at Texas. Lillian Gandara DDS physically located at 1904 W Parkside Ln, Phoenix AZ, 85027-1228. NPI Number Lillian Gandara DDS has the Individual type.

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1003877382 NPI number is provided on an as is basis without warranty of any kind. 1003877382 is maintained by the National Plan & Provider Enumeration System. The contents of Lillian Gandara DDS are for informational purposes only.