Organization
MESA DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI H NIA DMD (OWNER)
(480) 730-0500
Entity
Organization
Contact information
Practice address
1930 S DOBSON RD, #1, MESA, AZ 85202
(480) 730-0500
(480) 730-0525
Mailing address
1930 S DOBSON, #1, MESA, AZ 85202
(480) 730-0500
(480) 730-0525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4000
AZ
Other
Enumeration date
12/28/2005
Last updated
08/22/2020
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