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829 E University Dr Mesa AZ 85203-8042 | |
| (480) 655-8687 | |
| (480) 668-8687 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 829 E University Dr, Mesa, Arizona |
| Authorized Official Name and Position | Jeffrey Todd Erickson (PRESIDENT) |
| Authorized Official Contact | 4806558687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
829 E University Dr Mesa AZ 85203-8042 Ph: (480) 655-8687 | 829 E University Dr Mesa AZ 85203-8042 Ph: (480) 655-8687 |
| NPI Number | 1689715799 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689715799 | NPI | - | NPPES |
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