# ICHIBA MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercado Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902268261
- **Authorized official:** TEENAH CURTIN (DIRECTOR, BILLING SERVICES)
- **Authorized official phone:** (602) 687-9430

## Contact information

- **Practice address:** 10135 E VIA LINDA, SUITE C-119, SCOTTSDALE, AZ 85258-5328
- **Practice address phone:** (480) 661-6633
- **Mailing address:** 10135 E VIA LINDA, SUITE C-119, SCOTTSDALE, AZ 85258-5328
- **Mailing address phone:** (480) 661-6633

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 03/25/2016