East Mesa Dental Arts

NPI 1093910739 - Dentist - 1223G0001X

NPI Details
NPI 1093910739
Enumeration Date 06/20/2007
Last Updated 10/30/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEITH KEITH
Position OWNER, DENTIST
Phone (480) 830-5100
Fax
Practice Location
55 S 63RD ST
SUITE 1
MESA AZ, 85206-1605, US
Phone (480) 830-5100
Fax
Business Location
55 S 63RD ST
SUITE 1
MESA AZ, 85206-1605, US
Phone (480) 830-5100
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number 4750
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According to our database, East Mesa Dental Arts NPI is 1093910739, taxonomy code is 1223G0001X and license number is 4750, license state is located at Arizona. East Mesa Dental Arts physically located at 55 S 63rd St, Mesa AZ, 85206-1605. NPI Number 1033115704 has the healthcare provider type.

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1093910739 NPI number is provided on an as is basis without warranty of any kind. 1093910739 is maintained by the National Plan & Provider Enumeration System. The contents of East Mesa Dental Arts are for informational purposes only.