Duane L Wirth Dds | |
1150 N Country Club Dr Ste 11 Mesa AZ 85201-2537 | |
(480) 964-3124 | |
(480) 964-9252 |
Full Name | Duane L Wirth Dds |
---|---|
Speciality | Dental Hygienist |
Location | 1150 N Country Club Dr, Mesa, Arizona |
Authorized Official Name and Position | Duane L Wirth (DENTIST) |
Authorized Official Contact | 4809643124 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Duane L Wirth Dds 1150 N Country Club Dr Ste 11 Mesa AZ 85201-2537 Ph: (480) 964-3124 | Duane L Wirth Dds 1150 N Country Club Dr Ste 11 Mesa AZ 85201-2537 Ph: (480) 964-3124 |
NPI Number | 1902897580 |
---|---|
Provider Enumeration Date | 11/02/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902897580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2827 (Arizona) | Primary |
124Q00000X | Dental Hygienist | H0936 (Arizona) | Primary |
124Q00000X | Dental Hygienist | H0657 (Arizona) | Primary |
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