| NPI | 1942315478 |
|---|---|
| Former Legal Business Name | GILBERT DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WALKER BOLLWINKEL Dentist/President 480-892-5089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4919) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |