| Arizona Mini Dental Implant Centers Mesa, Llc | |
|
633 N Gilbert Rd Mesa AZ 85203-6629 | |
| (480) 898-3053 | |
| (480) 656-4864 |
| Full Name | Arizona Mini Dental Implant Centers Mesa, Llc |
|---|---|
| Speciality | Dentist |
| Location | 633 N Gilbert Rd, Mesa, Arizona |
| Authorized Official Name and Position | Robert O Caseldine (OWNER) |
| Authorized Official Contact | 4808983053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Mini Dental Implant Centers Mesa, Llc 633 N Gilbert Rd Mesa AZ 85203-6629 Ph: (480) 898-3053 | Arizona Mini Dental Implant Centers Mesa, Llc 633 N Gilbert Rd Mesa AZ 85203-6629 Ph: (480) 898-3053 |
| NPI Number | 1942552104 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942552104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3008 (Arizona) | Primary |
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