# SOSSAMAN DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOSSAMAN DENTAL CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104008499
- **Authorized official:** MORRIE ORVILLE TALBOT DDS (PRESIDENT)
- **Authorized official phone:** (480) 203-2531

## Contact information

- **Practice address:** 1925 S SOSSAMAN RD, \#212, MESA, AZ 85209-4275
- **Practice address phone:** (480) 203-2531
- **Mailing address:** 1925 S SOSSAMAN RD STE 212, MESA, AZ 85209-4145
- **Mailing address phone:** (480) 203-2531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D6283 | AZ | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 11/29/2007