| NPI | 1497402465 |
|---|---|
| Doing Business As | GILA RIDGE DENTAL -FOOTHILLS |
| Entity Type | Organization |
| Authorized Contact | VICENTA REYES Credentialing Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |