| Dental Specialty Group Inc | |
|
4435 E Broadway Rd Ste 7 Mesa AZ 85206-2012 | |
| (480) 471-8480 | |
| (480) 654-0705 |
| Full Name | Dental Specialty Group Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4435 E Broadway Rd Ste 7, Mesa, Arizona |
| Authorized Official Name and Position | Bennett Mankin (PRESIDENT) |
| Authorized Official Contact | 4802392088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialty Group Inc 3658 E Morrison Ranch Pkwy Gilbert AZ 85296-1816 Ph: (480) 239-2088 | Dental Specialty Group Inc 4435 E Broadway Rd Ste 7 Mesa AZ 85206-2012 Ph: (480) 471-8480 |
| NPI Number | 1063005049 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 02/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063005049 | NPI | - | NPPES |
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