| NPI | 1427855485 |
|---|---|
| Doing Business As | GILA RIDGE DENTAL WEST |
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA-ROCHA Sr Credentialing Team Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |