| Baseline Road Dental Llc | |
|
3130 E Baseline Rd 105/106 Mesa AZ 85204 | |
| (480) 701-6656 | |
| (480) 452-1614 |
| Full Name | Baseline Road Dental Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3130 E Baseline Rd 105/106, Mesa, Arizona |
| Authorized Official Name and Position | Jenny Garcia Rocha (SR TEAM LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baseline Road Dental Llc 3130 E Baseline Rd 105/106 Mesa AZ 85204 Ph: (480) 701-6656 | Baseline Road Dental Llc 3130 E Baseline Rd 105/106 Mesa AZ 85204 Ph: (480) 701-6656 |
| NPI Number | 1366281149 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366281149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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