Organization
JOHN J. MEHLEM, JR., DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. MEHLEM JR. DMD (PRESIDENT)
(602) 938-7750
Entity
Organization
Contact information
Practice address
17250 N 43RD AVE, SUITE #1, GLENDALE, AZ 85308-4035
(602) 938-7750
(602) 938-0765
Mailing address
17250 N 43RD AVE, SUITE #1, GLENDALE, AZ 85308-4035
(602) 938-7750
(602) 938-0765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1716
AZ
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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