Lifetime Family Dental

NPI #1104109115 in Gilbert, Arizona

Provider Information

NPI Number: 1104109115
Entity Type: Organization
Organization Name: Lifetime Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 26, 2011
Last Updated: Sep 26, 2011

Practice Location

Address: 235 E WARNER RD
Address 2: SUITE #108
City: Gilbert
State: Arizona
ZIP Code: 85296-2972
Phone: (480) 558-4331

Authorized Official

Name: DR. MICHAEL K GREDING, DDS
Title: OWNER
Phone: (480) 558-4331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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