Provider Demographics
NPI:1497234439
Name:KARALE, GEORGE VAL (DDS)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:VAL
Last Name:KARALE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15425 S 40TH PL STE 1
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-3746
Mailing Address - Country:US
Mailing Address - Phone:480-704-0701
Mailing Address - Fax:
Practice Address - Street 1:15425 S 40TH PL STE 1
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-3746
Practice Address - Country:US
Practice Address - Phone:480-704-0701
Practice Address - Fax:480-704-0787
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD010154122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist