# MANDEEP VERMANI DDS PLLC

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

## Provider details

- **NPI number:** 1235418161
- **Authorized official:** MANDEEP VERMANI DDS (OWNER/MEMBER)
- **Authorized official phone:** (623) 428-9949

## Contact information

- **Practice address:** 1911 W MAIN ST STE 6, MESA, AZ 85201-6929
- **Practice address phone:** (623) 428-9949
- **Practice address fax:** (623) 428-9962
- **Mailing address:** PO BOX 22270, PHOENIX, AZ 85028-0270
- **Mailing address phone:** (623) 428-9949
- **Mailing address fax:** (623) 428-9962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D06920 | AZ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/09/2011
- **Last updated:** 05/03/2019