| Pepsquad Pllc | |
|
5215 E Southern Ave Mesa AZ 85206-2777 | |
| (509) 823-4480 | |
| (509) 823-4490 |
| Full Name | Pepsquad Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5215 E Southern Ave, Mesa, Arizona |
| Authorized Official Name and Position | Derek Thompson (OWNER) |
| Authorized Official Contact | 5098234480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pepsquad Pllc 4309 W Nob Hill Blvd Yakima WA 98908-3971 Ph: () - | Pepsquad Pllc 5215 E Southern Ave Mesa AZ 85206-2777 Ph: (509) 823-4480 |
| NPI Number | 1487228961 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487228961 | NPI | - | NPPES |
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