| Dental Depot Of Mesa Pllc | |
|
2311 W Broadway Rd Mesa AZ 85202-1005 | |
| (480) 571-3050 | |
| (480) 605-5013 |
| Full Name | Dental Depot Of Mesa Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2311 W Broadway Rd, Mesa, Arizona |
| Authorized Official Name and Position | Glenn A Ashmore (OWNER / CEO) |
| Authorized Official Contact | 4059458941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Of Mesa Pllc 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (405) 945-8941 | Dental Depot Of Mesa Pllc 2311 W Broadway Rd Mesa AZ 85202-1005 Ph: (480) 571-3050 |
| NPI Number | 1629659131 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 06/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629659131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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