| Southern Square Dentistry PLC | |
|
5440 E Southern Ave Suite 107 Mesa AZ 85206-2779 | |
| (480) 830-3344 | |
| Not Available |
| Full Name | Southern Square Dentistry PLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5440 E Southern Ave, Mesa, Arizona |
| Authorized Official Name and Position | Julie Mcleod (CEO) |
| Authorized Official Contact | 5202906181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Square Dentistry PLC 11550 E Irvington Rd Tucson AZ 85747-8925 Ph: (520) 290-6181 | Southern Square Dentistry PLC 5440 E Southern Ave Suite 107 Mesa AZ 85206-2779 Ph: (480) 830-3344 |
| NPI Number | 1740485978 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 02/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740485978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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