Superstition Springs Dental | |
1545 S Power Rd Ste 112 Mesa AZ 85206 | |
(480) 924-6024 | |
Not Available |
Full Name | Superstition Springs Dental |
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Speciality | Dentist |
Location | 1545 S Power Rd Ste 112, Mesa, Arizona |
Authorized Official Name and Position | Mark Wilkes Morri (SOLE OWNER/ GENERAL DENTIST) |
Authorized Official Contact | 3123390588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Superstition Springs Dental 1 E Washington St Suite 500 Phoenix AZ 85004 Ph: (480) 696-1095 | Superstition Springs Dental 1545 S Power Rd Ste 112 Mesa AZ 85206 Ph: (480) 924-6024 |
NPI Number | 1982134672 |
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Provider Enumeration Date | 06/14/2017 |
Last Update Date | 06/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982134672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 9690 (Arizona) | Primary |
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