| |
944 N Gilbert Rd Mesa AZ 85203-5835 | |
(480) 833-4180 | |
(480) 833-4181 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 944 N Gilbert Rd, 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 |
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944 N Gilbert Rd Mesa AZ 85203-5835 Ph: (480) 833-4180 | 944 N Gilbert Rd Mesa AZ 85203-5835 Ph: (480) 833-4180 |
NPI Number | 1033250147 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1033250147 | NPI | - | NPPES |
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