| Dental Depot of Orthodontics Mesa, PLLC | |
|
2311 W Broadway Rd Ste B Mesa AZ 85202-1005 | |
| (623) 352-0196 | |
| Not Available |
| Full Name | Dental Depot of Orthodontics Mesa, PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2311 W Broadway Rd Ste B, Mesa, Arizona |
| Authorized Official Name and Position | Gaylon Zissa (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 4059458941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot of Orthodontics Mesa, PLLC 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (623) 352-0196 | Dental Depot of Orthodontics Mesa, PLLC 2311 W Broadway Rd Ste B Mesa AZ 85202-1005 Ph: (623) 352-0196 |
| NPI Number | 1912748260 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912748260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QD0000X | Clinic/center - Dental | () | Primary |
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