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Organization
TOTAL DENTAL SPECIALISTS LLC
Active
Organization
TOTAL DENTAL SPECIALISTS LLC
Active
Other names
Total Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA RAMOS (CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
3130 E BASELINE RD STE 105-106, MESA, AZ 85204-7290
(480) 701-6656
Mailing address
3130 E BASELINE RD STE 105-106, MESA, AZ 85204-7290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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