| Mesa Grand Kids Dentistry And Orthodontics Az Llp | |
|
1240 E Baseline Rd Ste 100 Mesa AZ 85204-6700 | |
| (480) 576-7378 | |
| (480) 562-5845 |
| Full Name | Mesa Grand Kids Dentistry And Orthodontics Az Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1240 E Baseline Rd Ste 100, Mesa, Arizona |
| Authorized Official Name and Position | Miran Ho (OWNER) |
| Authorized Official Contact | 4805767378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Grand Kids Dentistry And Orthodontics Az Llp Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Mesa Grand Kids Dentistry And Orthodontics Az Llp 1240 E Baseline Rd Ste 100 Mesa AZ 85204-6700 Ph: (480) 576-7378 |
| NPI Number | 1912649807 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912649807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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