Individual provider · NPI-1

Dr. Larry Dean Adams, DDS

Dentist · Mesa, AZ

NPI number1508998402
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1508998402
Entity type
Individual (NPI-1)
Name
Dr. Larry Dean Adams
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Mar 9, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistAZ2059AZYes

Practice location

623 East University Drive
Mesa, AZ 85203-7926

Phone 480-833-7070

Mailing address

623 East University Drive
Mesa, AZ 85203-7926

Phone 480-833-7070

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