| Simon Dental Care | |
|
1350 S Longmore Suite 13 Mesa AZ 85202-9603 | |
| (480) 833-0880 | |
| (480) 833-0225 |
| Full Name | Simon Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1350 S Longmore, Mesa, Arizona |
| Authorized Official Name and Position | Preethy Jacob Kunthara (PRESIDENT) |
| Authorized Official Contact | 4808330880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Dental Care 1350 S Longmore Suite 13 Mesa AZ 85202-9603 Ph: (480) 833-0880 | Simon Dental Care 1350 S Longmore Suite 13 Mesa AZ 85202-9603 Ph: (480) 833-0880 |
| NPI Number | 1245480565 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245480565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5644 (Arizona) | Primary |
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