# TOTAL DENTAL SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Total Dental Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225850621
- **Authorized official:** PAOLA RAMOS (CREDENTIALING TEAM LEAD)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 3130 E BASELINE RD STE 105-106, MESA, AZ 85204-7290
- **Practice address phone:** (480) 701-6656
- **Mailing address:** 3130 E BASELINE RD STE 105-106, MESA, AZ 85204-7290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2024
- **Last updated:** 10/28/2024