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General NPI Number Information
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NPI Number | 1811026834
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Entity Type | Organization
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Legal Business Name | G & M ORTHODONTICS
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 20261 E OCOTILLO RD SUITE #130
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City | QUEEN CREEK
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State | AZ
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Zip | 85242-8806
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Country | US
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Telephone | 480-987-9494
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Fax | 480-987-0345
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Provider Business Mailing Address
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Address Line | 20261 E OCOTILLO RD SUITE #130
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City | QUEEN CREEK
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State | AZ
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Zip | 85242-8806
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Country | US
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Telephone |
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Fax | 480-987-0345
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. GREG GARN
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Credential | DDS
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Telephone | 480-987-9494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5348
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License Number State | AZ
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