# MESA ENDODONTICS PLLC

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

## Provider details

- **NPI number:** 1366962995
- **Authorized official:** DR. NATHAN GEORGE WOODS DDS (OWNER)
- **Authorized official phone:** (804) 814-5801

## Contact information

- **Practice address:** 2855 E BROWN RD STE 15, MESA, AZ 85213-4216
- **Practice address phone:** (480) 324-0500
- **Practice address fax:** (480) 324-0501
- **Mailing address:** 2855 E BROWN RD STE 15, MESA, AZ 85213-4216
- **Mailing address phone:** (804) 814-5801
- **Mailing address fax:** (480) 324-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | D07243 | AZ | Yes |

## Other

- **Enumeration date:** 06/25/2017
- **Last updated:** 06/25/2017