# KRISTEN M MAYORGA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DESERT DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750020186
- **Authorized official:** DR. KRISTEN M MAYORGA DDS (DOCTOR/OWNER)
- **Authorized official phone:** (480) 639-9165

## Contact information

- **Practice address:** 4609 E CHANDLER BLVD, PHOENIX, AZ 85048-0424
- **Practice address phone:** (480) 706-4600
- **Mailing address:** 3502 E DESERT TRUMPET RD, PHOENIX, AZ 85044-7028
- **Mailing address phone:** (480) 639-9165

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2022
- **Last updated:** 06/02/2022
