| Mountainside Dental Group, Llc | |
|
6549 E University Dr Suite B Mesa AZ 85205-7600 | |
| (480) 981-0590 | |
| Not Available |
| Full Name | Mountainside Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6549 E University Dr, Mesa, Arizona |
| Authorized Official Name and Position | Daron Clare (GENERAL MANAGER) |
| Authorized Official Contact | 4809810590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Dental Group, Llc 6549 E University Dr Suite B Mesa AZ 85205-7600 Ph: (480) 981-0590 | Mountainside Dental Group, Llc 6549 E University Dr Suite B Mesa AZ 85205-7600 Ph: (480) 981-0590 |
| NPI Number | 1518270248 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518270248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | L16075880 (Arizona) | Primary |
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