LEO J WIRTH DDS PC NPI 1902897580

NPI Information

LEO J WIRTH DDS PC 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. LEO J WIRTH DDS PC NPI is 1902897580. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Duane L Wirth Dds.

The provider's business location address is:

1150 N COUNTRY CLUB DR
STE 11
MESA, AZ
ZIP 85201-537
Phone: (480) 964-3124
Fax: (480) 964-9252

The provider's authorized official is Duane L Wirth .
The authorized official title is Dentist and has the following contact phone number (480) 964-3124.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 8/22/2020.

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:

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