| Op Orthodontics Of Arizona Pllc | |
|
5058 E Southern Ave Ste 101 Mesa AZ 85206-2771 | |
| (480) 325-7500 | |
| Not Available |
| Full Name | Op Orthodontics Of Arizona Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5058 E Southern Ave Ste 101, Mesa, Arizona |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Op Orthodontics Of Arizona Pllc 5058 E Southern Ave Ste 101 Mesa AZ 85206-2771 Ph: () - | Op Orthodontics Of Arizona Pllc 5058 E Southern Ave Ste 101 Mesa AZ 85206-2771 Ph: (480) 325-7500 |
| NPI Number | 1386309219 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386309219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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