Pete N Mellas Dmd Ms Pllc | |
4910 E Greenway Rd Ste 2 Scottsdale AZ 85254-1653 | |
(602) 404-4458 | |
Not Available |
Full Name | Pete N Mellas Dmd Ms Pllc |
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Speciality | Dentist - Periodontics |
Location | 4910 E Greenway Rd Ste 2, Scottsdale, Arizona |
Authorized Official Name and Position | Pete Nicholas Mellas (OWNER) |
Authorized Official Contact | 6024044458 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pete N Mellas Dmd Ms Pllc 4910 E Greenway Rd Ste 2 Scottsdale AZ 85254-1653 Ph: (602) 404-4458 | Pete N Mellas Dmd Ms Pllc 4910 E Greenway Rd Ste 2 Scottsdale AZ 85254-1653 Ph: (602) 404-4458 |
NPI Number | 1962973347 |
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Provider Enumeration Date | 12/11/2018 |
Last Update Date | 12/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962973347 | NPI | - | NPPES |
1316947963 | Other | AZ | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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