# E. MARK WADE DDSPC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** family care dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750495743
- **Authorized official:** E MARK WADE DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (480) 926-7363

## Contact information

- **Practice address:** 1121 S GILBERT RD, \#104, MESA, AZ 85204-5235
- **Practice address phone:** (480) 926-7363
- **Practice address fax:** (480) 926-7365
- **Mailing address:** 1121 S GILBERT RD, \#104, MESA, AZ 85204-5235
- **Mailing address phone:** (480) 926-7363
- **Mailing address fax:** (480) 926-7365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3277 | AZ | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/22/2020