# PM DENTAL

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

## Provider details

- **NPI number:** 1760958359
- **Authorized official:** PETER MANESH DDS (OWNER)
- **Authorized official phone:** (520) 568-7880

## Contact information

- **Practice address:** 20800 N JOHN WAYNE PKWY STE 105, MARICOPA, AZ 85139-2728
- **Practice address phone:** (520) 568-7880
- **Practice address fax:** (520) 868-6794
- **Mailing address:** 20800 N JOHN WAYNE PKWY STE 105, MARICOPA, AZ 85139-2728
- **Mailing address phone:** (520) 568-7880

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2018
- **Last updated:** 10/22/2018