PICASSO DENTAL AZ NPI 1326110024

NPI Information

PICASSO DENTAL AZ is a general practice dentist in Mesa, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PICASSO DENTAL AZ NPI is 1326110024. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Mark S. Anthony, Dds.

The provider's business location address is:

1259 N POWER RD
SUITE 2
MESA, AZ
ZIP 85205-909
Phone: (480) 832-4567
Fax: (480) 854-3869

The provider's authorized official is Mark S Anthony .
The authorized official title is Owner Dentist and has the following contact phone number (480) 832-4567.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 10/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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