South Mountain Dental LLC
NPI #1821751777 in Tempe, Arizona
Provider Information
- NPI Number
- 1821751777
- Entity Type
- Organization
- Organization Name
- South Mountain Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 18, 2021
- Last Updated
- Oct 18, 2021
Practice Location
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTAILING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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