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2733 N Power Rd Mesa AZ 85215-1682 | |
(480) 924-7800 | |
(480) 924-7814 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 2733 N Power Rd, Mesa, Arizona |
Authorized Official Name and Position | Laurie Summers (CREDENTIALING) |
Authorized Official Contact | 3032856098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2733 N Power Rd Mesa AZ 85215-1682 Ph: (480) 924-7800 | 2733 N Power Rd Mesa AZ 85215-1682 Ph: (480) 924-7800 |
NPI Number | 1326169749 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1326169749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 6097 (Colorado) | Primary |
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