East Valley Periodontics | |
6755 E Superstition Springs Blvd Suite 102 Mesa AZ 85206-4373 | |
(480) 218-7590 | |
(480) 218-2247 |
Full Name | East Valley Periodontics |
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Speciality | Dentist - Periodontics |
Location | 6755 E Superstition Springs Blvd, Mesa, Arizona |
Authorized Official Name and Position | Penny Sue Mckinney (OFFICE MANAGER) |
Authorized Official Contact | 4802187590 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East Valley Periodontics 6755 E Superstition Springs Blvd Ste. 102 Mesa AZ 85206-4373 Ph: (480) 218-7590 | East Valley Periodontics 6755 E Superstition Springs Blvd Suite 102 Mesa AZ 85206-4373 Ph: (480) 218-7590 |
NPI Number | 1821242082 |
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Provider Enumeration Date | 11/13/2008 |
Last Update Date | 11/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821242082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 2619 (Arizona) | Primary |
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