Arizona Dental Service

NPI #1417376617 in Mesa, Arizona

Provider Information

NPI Number: 1417376617
Entity Type: Organization
Organization Name: Arizona Dental Service
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 15, 2014
Last Updated: Apr 15, 2014

Practice Location

Address: 1629 E UNIVERSITY DR
City: Mesa
State: Arizona
ZIP Code: 85203-8139
Phone: (480) 835-1536

Authorized Official

Name: GREG AVERY
Title: OWNER
Phone: (480) 835-1536

Specialties & Taxonomy Codes

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

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