# EAST VALLEY DENTAL PROFESSIONALS

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

## Provider details

- **NPI number:** 1982059457
- **Authorized official:** JENNIFER BRINKMAN-AYERS (OFFICE MANAGER)
- **Authorized official phone:** (480) 838-3033

## Contact information

- **Practice address:** 2058 S DOBSON RD, SUITE 12, MESA, AZ 85202-6454
- **Practice address phone:** (480) 838-3033
- **Practice address fax:** (480) 838-5738
- **Mailing address:** 2058 S DOBSON RD, SUITE 12, MESA, AZ 85202-6454
- **Mailing address phone:** (480) 838-3033
- **Mailing address fax:** (480) 838-5738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2016
- **Last updated:** 05/03/2016