# DENTAL INNOVATIONS

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

## Provider details

- **NPI number:** 1891339727
- **Authorized official:** LAURA VAUGHN (MANAGER)
- **Authorized official phone:** (623) 210-3416

## Contact information

- **Practice address:** 160 S POWER RD, MESA, AZ 85206-5230
- **Practice address phone:** (480) 985-1910
- **Mailing address:** 34225 N 27TH DR BLDG 5 STE 241, PHOENIX, AZ 85085
- **Mailing address phone:** (480) 985-1910

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2019
- **Last updated:** 11/04/2019