Dental Care of Mesa LLC

NPI #1174098255 in Mesa, Arizona

Provider Information

NPI Number: 1174098255
Entity Type: Organization
Organization Name: Dental Care of Mesa LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 4, 2018
Last Updated: Oct 4, 2018

Practice Location

Address: 6610 E BASELINE RD
Address 2: STE 104
City: Mesa
State: Arizona
ZIP Code: 85206-4441
Phone: (480) 290-7777

Authorized Official

Name: JULEE WEIDNER, DDS
Title: DOCTOR
Phone: (480) 290-7777

Specialties & Taxonomy Codes

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

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