Mesa Valley Modern Dentistry | |
1712 S, Country Club Drive, Ste 104 Mesa AZ 85210 | |
(480) 376-0593 | |
Not Available |
Full Name | Mesa Valley Modern Dentistry |
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Speciality | Dentist |
Location | 1712 S, Country Club Drive, Ste 104, Mesa, Arizona |
Authorized Official Name and Position | Miran Ho (OWNER) |
Authorized Official Contact | 4803760593 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mesa Valley Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | Mesa Valley Modern Dentistry 1712 S, Country Club Drive, Ste 104 Mesa AZ 85210 Ph: (480) 376-0593 |
NPI Number | 1487190880 |
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Provider Enumeration Date | 01/10/2017 |
Last Update Date | 04/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487190880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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