Mesa Dental Arizona LLC
Dentist in Mesa, AZ. Organization (NPI-2).
NPI number1982134672
StatusActive
Last updated in NPPESJun 14, 2017
Details
- NPI
- 1982134672
- Entity type
- Organization (NPI-2)
- Legal business name
- Mesa Dental Arizona LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 14, 2017
- Last updated
- Jun 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 9690 | AZ | Yes |
Other names
- Superstition Springs Dental (Other Name)
Practice location
1545 S Power Rd Ste 112Mesa, AZ 85206
Phone 480-924-6024
Mailing address
1 E Washington St Suite 500Phoenix, AZ 85004
Phone 480-696-1095
Authorized official
Mark Wilkes Morri
Sole Owner/ General Dentist
3123390588
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All 239 Dentist providers in Mesa · All 13,507 providers in Mesa
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