| Mesa Valley Dental Llc | |
|
1220 S Higley Rd Ste 206 Mesa AZ 85206-4002 | |
| (480) 985-9110 | |
| Not Available |
| Full Name | Mesa Valley Dental Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1220 S Higley Rd Ste 206, Mesa, Arizona |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Valley Dental Llc 1220 S Higley Rd Ste 206 Mesa AZ 85206-4002 Ph: (480) 985-9110 | Mesa Valley Dental Llc 1220 S Higley Rd Ste 206 Mesa AZ 85206-4002 Ph: (480) 985-9110 |
| NPI Number | 1033750724 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 10/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033750724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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