| |
1229 E. Mckellips Road #106 Mesa AZ 85203-2725 | |
(480) 834-0890 | |
(216) 584-1300 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1229 E. Mckellips Road, Mesa, Arizona |
Authorized Official Name and Position | Lauren Hill (DIRECTOR, RCM) |
Authorized Official Contact | 9729307707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 860036 Minneapolis MN 55486-0036 Ph: (480) 834-0890 | 1229 E. Mckellips Road #106 Mesa AZ 85203-2725 Ph: (480) 834-0890 |
NPI Number | 1689755142 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 06/16/2022 |
Identifier | Type | State | Issuer |
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1689755142 | NPI | - | NPPES |
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