Glendale Gentle Dentistry

NPI 1063803518 - Dentist - 1223G0001X

NPI Details
NPI 1063803518
Enumeration Date 02/05/2015
Last Updated 02/05/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KRIS KRIS
Position DENTIST/OWNER
Phone (623) 939-5131
Fax
Practice Location
8910 N 43RD AVE STE 104
GLENDALE AZ, 85302-5340, US
Phone (623) 939-5131
Fax
Business Location
8910 N 43RD AVE STE 104
GLENDALE AZ, 85302-5340, US
Phone (623) 939-5131
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number 6220
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According to our database, Glendale Gentle Dentistry NPI is 1063803518, taxonomy code is 1223G0001X and license number is 6220, license state is located at Arizona. Glendale Gentle Dentistry physically located at 8910 N 43rd Ave Ste 104, Glendale AZ, 85302-5340. NPI Number 1033115704 has the healthcare provider type.

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1063803518 NPI number is provided on an as is basis without warranty of any kind. 1063803518 is maintained by the National Plan & Provider Enumeration System. The contents of Glendale Gentle Dentistry are for informational purposes only.