Kent W. Stapley, D.m.d, Llc | |
1259 N Power Rd #1 Mesa AZ 85205-4909 | |
(480) 830-8946 | |
(480) 854-3869 |
Full Name | Kent W. Stapley, D.m.d, Llc |
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Speciality | Dentist - General Practice |
Location | 1259 N Power Rd, Mesa, Arizona |
Authorized Official Name and Position | Kent Wayne Stapley (PRESIDENT) |
Authorized Official Contact | 4808308946 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kent W. Stapley, D.m.d, Llc 1259 N Power Rd #1 Mesa AZ 85205-4909 Ph: (480) 830-8946 | Kent W. Stapley, D.m.d, Llc 1259 N Power Rd #1 Mesa AZ 85205-4909 Ph: (480) 830-8946 |
NPI Number | 1730363185 |
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Provider Enumeration Date | 12/20/2007 |
Last Update Date | 12/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730363185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4551 (Arizona) | Primary |
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