Western Dental of Arizona, Inc.

NPI #1013053057 in Mesa, Arizona

Provider Information

NPI Number: 1013053057
Entity Type: Organization
Organization Name: Western Dental of Arizona, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1161 E MAIN ST
City: Mesa
State: Arizona
ZIP Code: 85203-8823
Phone: (480) 834-1555

Authorized Official

Name: CINDY E. AVALOS
Title: PPOCOORDINATOR
Phone: (714) 480-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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