| Comfort Braces West Mesa | |
|
1130 S Country Club Dr Suite 101 Mesa AZ 85210-4639 | |
| (480) 461-9866 | |
| Not Available |
| Full Name | Comfort Braces West Mesa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1130 S Country Club Dr, Mesa, Arizona |
| Authorized Official Name and Position | Mark Stasi (PARTNER / OWNER) |
| Authorized Official Contact | 3035491912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Braces West Mesa 1130 S Country Club Dr Suite 101 Mesa AZ 85210-4639 Ph: (480) 461-9866 | Comfort Braces West Mesa 1130 S Country Club Dr Suite 101 Mesa AZ 85210-4639 Ph: (480) 461-9866 |
| NPI Number | 1851644504 |
|---|---|
| Provider Enumeration Date | 10/18/2012 |
| Last Update Date | 10/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851644504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8340 (Arizona) | Primary |
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