| NPI | 1710649751 |
|---|---|
| Doing Business As | GILA RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Director Of Credentialing 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |