Pema Dental Center INC
Dentist in Mesa, AZ. Organization (NPI-2).
NPI number1457744153
StatusActive
Last updated in NPPESMar 5, 2015
Details
- NPI
- 1457744153
- Entity type
- Organization (NPI-2)
- Legal business name
- Pema Dental Center INC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2015
- Last updated
- Mar 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D6545 | AZ | Yes |
Practice location
454 N Lindsay Rd Ste 4Mesa, AZ 85213-7708
Phone 480-832-9199
Mailing address
454 N Lindsay Rd Ste 4Mesa, AZ 85213-7708
Authorized official
Rakesh Pema
Owner
4808329199
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