| John J. Mehlem, Jr., Dmd, Pc | |
|
17250 N 43rd Ave Suite #1 Glendale AZ 85308-4035 | |
| (602) 938-7750 | |
| (602) 938-0765 |
| Full Name | John J. Mehlem, Jr., Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17250 N 43rd Ave, Glendale, Arizona |
| Authorized Official Name and Position | John J. Mehlem (PRESIDENT) |
| Authorized Official Contact | 6029387750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J. Mehlem, Jr., Dmd, Pc 17250 N 43rd Ave Suite #1 Glendale AZ 85308-4035 Ph: (602) 938-7750 | John J. Mehlem, Jr., Dmd, Pc 17250 N 43rd Ave Suite #1 Glendale AZ 85308-4035 Ph: (602) 938-7750 |
| NPI Number | 1013121128 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013121128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1716 (Arizona) | Primary |
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