| Dr Katerina Goncharova Dds Plc | |
|
2853 S Sossaman Rd A110 Mesa AZ 85212 | |
| (480) 986-5860 | |
| (480) 986-5870 |
| Full Name | Dr Katerina Goncharova Dds Plc |
|---|---|
| Speciality | Dentist |
| Location | 2853 S Sossaman Rd, Mesa, Arizona |
| Authorized Official Name and Position | Ekaterina N Goncharova (DENTIST OWNER) |
| Authorized Official Contact | 4809865860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Katerina Goncharova Dds Plc 2853 S Sossaman Rd A110 Mesa AZ 85212 Ph: (480) 986-5860 | Dr Katerina Goncharova Dds Plc 2853 S Sossaman Rd A110 Mesa AZ 85212 Ph: (480) 986-5860 |
| NPI Number | 1972560571 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 03/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972560571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5808 (Arizona) | Primary |
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