| Dental Center Of Mesa Pllc | |
|
1545 E University Dr Mesa AZ 85203-8132 | |
| (480) 834-9001 | |
| (480) 844-8206 |
| Full Name | Dental Center Of Mesa Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1545 E University Dr, Mesa, Arizona |
| Authorized Official Name and Position | Jonathan Kalika (OWNER/DENTIST) |
| Authorized Official Contact | 4808349001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center Of Mesa Pllc 1545 E University Dr Mesa AZ 85203-8132 Ph: (480) 834-9001 | Dental Center Of Mesa Pllc 1545 E University Dr Mesa AZ 85203-8132 Ph: (480) 834-9001 |
| NPI Number | 1225554157 |
|---|---|
| Provider Enumeration Date | 08/22/2017 |
| Last Update Date | 08/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225554157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D06367 (Arizona) | Primary |
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