# VALUE DENTAL CENTERS MESA WEST AZ, LLC

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

## Provider details

- **NPI number:** 1760923213
- **Authorized official:** MS. TRACY TRAN MBA/MPH (DIRECTOR)
- **Authorized official phone:** (480) 626-1577

## Contact information

- **Practice address:** 1955 S STAPLEY DR, MESA, AZ 85204-6615
- **Practice address phone:** (480) 626-1577
- **Practice address fax:** (702) 842-4323
- **Mailing address:** 1955 S STAPLEY DR, MESA, AZ 85204-6615
- **Mailing address phone:** (480) 626-1577
- **Mailing address fax:** (702) 842-4323

## Taxonomy

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

## Other

- **Enumeration date:** 03/16/2017
- **Last updated:** 03/16/2017