| Mandalene Mirkhah Dds Pllc | |
|
717 W Glendale Ave Phoenix AZ 85021-8629 | |
| (602) 861-0800 | |
| Not Available |
| Full Name | Mandalene Mirkhah Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 717 W Glendale Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Mandalene Mirkhah (DENTIST) |
| Authorized Official Contact | 6025614092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandalene Mirkhah Dds Pllc 717 W Glendale Ave Phoenix AZ 85021-8629 Ph: (602) 861-0800 | Mandalene Mirkhah Dds Pllc 717 W Glendale Ave Phoenix AZ 85021-8629 Ph: (602) 861-0800 |
| NPI Number | 1841708559 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 01/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841708559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D008869 (Arizona) | Primary |
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