| East Valley Implant And Periodontal Pllc | |
|
3048 E Baseline Rd Ste 112 Mesa AZ 85204-7287 | |
| (480) 376-2848 | |
| Not Available |
| Full Name | East Valley Implant And Periodontal Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3048 E Baseline Rd Ste 112, Mesa, Arizona |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 9419553150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Valley Implant And Periodontal Pllc 8952 E Desert Cove Ave # D101 Scottsdale AZ 85260-6775 Ph: (480) 376-2848 | East Valley Implant And Periodontal Pllc 3048 E Baseline Rd Ste 112 Mesa AZ 85204-7287 Ph: (480) 376-2848 |
| NPI Number | 1457900656 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 09/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457900656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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