Organization
SLATER FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY SLATER DDS (DDS/ OWNER)
(480) 981-3047
Entity
Organization
Contact information
Practice address
6963 E MAIN ST, MESA, AZ 85207-8209
(480) 981-3047
Mailing address
6963 E MAIN ST, MESA, AZ 85207-8209
(480) 981-3047
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/22/2021
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