| Picasso Dental Az | |
|
1259 N Power Rd Suite 2 Mesa AZ 85205-4909 | |
| (480) 832-4567 | |
| (480) 854-3869 |
| Full Name | Picasso Dental Az |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1259 N Power Rd, Mesa, Arizona |
| Authorized Official Name and Position | Mark S Anthony (OWNER DENTIST) |
| Authorized Official Contact | 4808324567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Picasso Dental Az 1259 N Power Rd Suite 2 Mesa AZ 85205-4909 Ph: (480) 832-4567 | Picasso Dental Az 1259 N Power Rd Suite 2 Mesa AZ 85205-4909 Ph: (480) 832-4567 |
| NPI Number | 1326110024 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326110024 | NPI | - | NPPES |
| 973102 | Other | AZ | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3908 (Arizona) | Primary |
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