| Mountainside Family Dental | |
|
3961 E Chandler Blvd Ste. 104 Phoenix AZ 85048-0303 | |
| (480) 759-4202 | |
| (480) 759-3514 |
| Full Name | Mountainside Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3961 E Chandler Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Rosa Lesso (NATIONAL DIRECTOR OF RCM) |
| Authorized Official Contact | 7145713471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Family Dental 136 4th St N Ste 201 St Petersburg FL 33701-3889 Ph: (727) 800-8026 | Mountainside Family Dental 3961 E Chandler Blvd Ste. 104 Phoenix AZ 85048-0303 Ph: (480) 759-4202 |
| NPI Number | 1811326226 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811326226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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