Generation III Dental Incorporated

NPI #1972925147 in Glendale, Arizona

Provider Information

NPI Number: 1972925147
Entity Type: Organization
Organization Name: Generation III Dental Incorporated
Primary Specialty: Dentist
Enumeration Date: Jan 7, 2014
Last Updated: Jan 7, 2014

Practice Location

Address: 16080 N 59TH AVE
Address 2: SUITE A
City: Glendale
State: Arizona
ZIP Code: 85306-2339
Phone: (623) 398-6808

Authorized Official

Name: DR. OKSANA STOJ, DMD
Title: MANAGER/OWNER
Phone: (623) 398-6808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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