Tephrocactus LLC

NPI #1033508031 in Mesa, Arizona

Provider Information

NPI Number: 1033508031
Entity Type: Organization
Organization Name: Tephrocactus LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 13, 2015
Last Updated: Apr 9, 2015

Practice Location

Address: 2158 N GILBERT RD
City: Mesa
State: Arizona
ZIP Code: 85203-2109
Phone: (480) 649-7200

Authorized Official

Name: JASEN STIGER
Title: CORPORATE SECRETARY
Phone: (602) 225-0595

Specialties & Taxonomy Codes

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

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