| Glendale Gentle Dentistry | |
|
8910 N 43rd Ave Ste 104 Glendale AZ 85302-5340 | |
| (623) 939-5131 | |
| Not Available |
| Full Name | Glendale Gentle Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8910 N 43rd Ave Ste 104, Glendale, Arizona |
| Authorized Official Name and Position | Kris Iganian (DENTIST/OWNER) |
| Authorized Official Contact | 6239395131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Gentle Dentistry 8910 N 43rd Ave Ste 104 Glendale AZ 85302-5340 Ph: (623) 939-5131 | Glendale Gentle Dentistry 8910 N 43rd Ave Ste 104 Glendale AZ 85302-5340 Ph: (623) 939-5131 |
| NPI Number | 1063803518 |
|---|---|
| Provider Enumeration Date | 02/05/2015 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063803518 | NPI | - | NPPES |
| 905987 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6220 (Arizona) | Primary |
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