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1545 S Power Rd Ste 112 Mesa AZ 85206 | |
| (480) 924-6024 | |
| Not Available |
| Full Name | |
|---|---|
| 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 |
|---|---|
1 E Washington St Suite 500 Phoenix AZ 85004 Ph: (480) 696-1095 | 1545 S Power Rd Ste 112 Mesa AZ 85206 Ph: (480) 924-6024 |
| NPI Number | 1982134672 |
|---|---|
| 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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