| NPI | 1780730549 |
|---|---|
| Doing Business As | GILA BEND CLINIC DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DEANNA J. DICK (CEO) Chief Executive Officer 602-263-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 1223G0001X Dentist, General Practice | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-06-19 |