Organization
M.K.SAPERSTEIN,D.M.D.,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KALEN SAPERSTEIN D.M.D. (PRESIDENT)
(602) 249-0961
Entity
Organization
Contact information
Practice address
6619 N 19TH AVE, SUITE D, PHOENIX, AZ 85015-1631
(602) 249-0961
(602) 249-1128
Mailing address
6619 N 19TH AVE, SUITE D, PHOENIX, AZ 85015-1631
(602) 249-0961
(602) 249-1128
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D1661
AZ
Other
Enumeration date
04/15/2008
Last updated
07/29/2008
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