# M.K.SAPERSTEIN,D.M.D.,LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043484553
- **Authorized official:** DR. MARK KALEN SAPERSTEIN D.M.D. (PRESIDENT)
- **Authorized official phone:** (602) 249-0961

## Contact information

- **Practice address:** 6619 N 19TH AVE, SUITE D, PHOENIX, AZ 85015-1631
- **Practice address phone:** (602) 249-0961
- **Practice address fax:** (602) 249-1128
- **Mailing address:** 6619 N 19TH AVE, SUITE D, PHOENIX, AZ 85015-1631
- **Mailing address phone:** (602) 249-0961
- **Mailing address fax:** (602) 249-1128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | D1661 | AZ | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 07/29/2008