# VALUE DENTAL CENTERS MESA EAST AZ, LLC

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

## Provider details

- **NPI number:** 1659820819
- **Authorized official:** MS. TRACY H TRAN MBA/MPH (DIRECTOR)
- **Authorized official phone:** (408) 234-5099

## Contact information

- **Practice address:** 4505 E MCKELLIPS RD, MESA, AZ 85215-2523
- **Practice address phone:** (480) 626-8060
- **Practice address fax:** (702) 800-3103
- **Mailing address:** 4505 E MCKELLIPS RD, MESA, AZ 85215-2523
- **Mailing address phone:** (480) 626-8060
- **Mailing address fax:** (702) 800-3103

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2016
- **Last updated:** 09/29/2016