| Baseline Dental, Pc | |
|
2030 W Baseline Rd Ste 176 Phoenix AZ 85041-6574 | |
| (770) 916-5031 | |
| (678) 247-7966 |
| Full Name | Baseline Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2030 W Baseline Rd Ste 176, Phoenix, Arizona |
| Authorized Official Name and Position | Dale M. Mayfield (PRESIDENT) |
| Authorized Official Contact | 7709165031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baseline Dental, Pc 1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 Ph: (770) 916-5031 | Baseline Dental, Pc 2030 W Baseline Rd Ste 176 Phoenix AZ 85041-6574 Ph: (770) 916-5031 |
| NPI Number | 1083005136 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083005136 | NPI | - | NPPES |
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