# JKA DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastport dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376009175
- **Authorized official:** DR. VINH HUYNH D.M.D (DENTIST/OWNER)
- **Authorized official phone:** (480) 526-3664

## Contact information

- **Practice address:** 1905 E MCKELLIPS RD, MESA, AZ 85203-2865
- **Practice address phone:** (480) 649-1949
- **Mailing address:** 1905 E MCKELLIPS RD, MESA, AZ 85203-2865
- **Mailing address phone:** (480) 526-3664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2019
- **Last updated:** 02/17/2019