| Ded Enterprises Entertainment | |
|
901 S Country Club Dr Apt 2148 Mesa AZ 85210-3590 | |
| (602) 354-1337 | |
| Not Available |
| Full Name | Ded Enterprises Entertainment |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 901 S Country Club Dr Apt 2148, Mesa, Arizona |
| Authorized Official Name and Position | David Evan Den Boer (PRESIDENT) |
| Authorized Official Contact | 6023541337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ded Enterprises Entertainment 901 S Country Club Dr Apt 2148 Mesa AZ 85210-3590 Ph: (602) 354-1337 | Ded Enterprises Entertainment 901 S Country Club Dr Apt 2148 Mesa AZ 85210-3590 Ph: (602) 354-1337 |
| NPI Number | 1922495977 |
|---|---|
| Provider Enumeration Date | 04/16/2015 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922495977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | D07408423 (Arizona) | Primary |
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