M.K.Saperstein,d.M.D.,ltd.
Clinic/Center, Dental in Phoenix, AZ. Organization (NPI-2).
NPI number1043484553
StatusActive
Last updated in NPPESJul 29, 2008
Details
- NPI
- 1043484553
- Entity type
- Organization (NPI-2)
- Legal business name
- M.K.Saperstein,d.M.D.,ltd.
- Organization subpart
- No
- Enumeration date
- Apr 15, 2008
- Last updated
- Jul 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | D1661 | AZ | Yes |
Practice location
6619 N 19th AveSuite D
Phoenix, AZ 85015-1631
Phone 602-249-0961 · Fax 602-249-1128
Mailing address
6619 N 19th AveSuite D
Phoenix, AZ 85015-1631
Phone 602-249-0961 · Fax 602-249-1128
Authorized official
Mark Kalen Saperstein
President
6022490961
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