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6755 E Superstition Springs Blvd Ste 201 Mesa AZ 85206 | |
| (480) 924-2880 | |
| (480) 924-5634 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6755 E Superstition Springs Blvd, Mesa, Arizona |
| Authorized Official Name and Position | Arlon M Petersen (VICE PRESIDENT) |
| Authorized Official Contact | 4809242880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6755 E Superstition Springs Blvd Ste 201 Mesa AZ 85206 Ph: (480) 924-2880 | 6755 E Superstition Springs Blvd Ste 201 Mesa AZ 85206 Ph: (480) 924-2880 |
| NPI Number | 1063637197 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063637197 | NPI | - | NPPES |
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