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MESA GRAND KIDS DENTISTRY AND ORTHODONTICS AZ LLP NPI 1912649807


NPI Information

NPI: 1912649807
Provider Name: MESA GRAND KIDS DENTISTRY AND ORTHODONTICS AZ LLP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1240 E BASELINE RD STE 100
MESA, AZ
ZIP 85204
Phone: (480) 576-7378
Get Directions

MESA GRAND KIDS DENTISTRY AND ORTHODONTICS AZ LLP 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. MESA GRAND KIDS DENTISTRY AND ORTHODONTICS AZ LLP NPI is 1912649807. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1240 E BASELINE RD STE 100
MESA, AZ
ZIP 85204-700
Phone: (480) 576-7378
Fax: (480) 562-5845

The provider's authorized official is Miran Ho .
The authorized official title is Owner and has the following contact phone number (480) 576-7378.

The enumeration date for this NPI number is 4/11/2022 and was last updated on 4/11/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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