Vista Dorada Dental

NPI #1215117411 in Gilbert, Arizona

Provider Information

NPI Number: 1215117411
Entity Type: Organization
Organization Name: Vista Dorada Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 6, 2007
Last Updated: Nov 6, 2007

Practice Location

Address: 4902 S. VAL VISTA DRIVE
Address 2: SUITE #107
City: Gilbert
State: Arizona
ZIP Code: 85296
Phone: (480) 963-9900

Authorized Official

Name: WILLIAM SHAYNE GUFFEY, DMD
Title: OWNER
Phone: (480) 963-9900

Specialties & Taxonomy Codes

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

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