| East Valley Implant & Periodontal Center | |
|
3048 E Baseline Rd Ste 112 Mesa AZ 85204-7287 | |
| (480) 558-4504 | |
| (480) 827-9703 |
| Full Name | East Valley Implant & Periodontal Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3048 E Baseline Rd Ste 112, Mesa, Arizona |
| Authorized Official Name and Position | Brett E Lee (OFFICE MANAGER) |
| Authorized Official Contact | 4805584504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Valley Implant & Periodontal Center 3048 E Baseline Rd Ste 112 Mesa AZ 85204-7287 Ph: (480) 558-4504 | East Valley Implant & Periodontal Center 3048 E Baseline Rd Ste 112 Mesa AZ 85204-7287 Ph: (480) 558-4504 |
| NPI Number | 1376019075 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 10/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376019075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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