East Valley Periodontics

NPI 1063649192 - Dentist - 1223P0300X

NPI Details
NPI 1063649192
Enumeration Date 06/16/2009
Last Updated 06/16/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name PENNY SUE PENNY
Position OFFICE MANAGER
Phone (480) 218-7590
Fax (480) 218-2247
Practice Location
6755 E SUPERSTITION SPRINGS BLVD
STE. 102
MESA AZ, 85206-4373, US
Phone (480) 218-7590
Fax (480) 218-2247
Business Location
6755 E SUPERSTITION SPRINGS BLVD
STE. 102
MESA AZ, 85206-4373, US
Phone (480) 218-7590
Fax (480) 218-2247
Toxanomy
Taxonomy Code 1223P0300X
License State Arizona
License Number 7751
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According to our database, East Valley Periodontics NPI is 1063649192, taxonomy code is 1223P0300X and license number is 7751, license state is located at Arizona. East Valley Periodontics physically located at 6755 E Superstition Springs Blvd, Mesa AZ, 85206-4373. NPI Number 1033115704 has the healthcare provider type.

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1063649192 NPI number is provided on an as is basis without warranty of any kind. 1063649192 is maintained by the National Plan & Provider Enumeration System. The contents of East Valley Periodontics are for informational purposes only.