Organization
SOSSAMAN DENTAL CARE
Active
Other names
SOSSAMAN DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIE ORVILLE TALBOT DDS (PRESIDENT)
(480) 203-2531
Entity
Organization
Contact information
Practice address
1925 S SOSSAMAN RD, #212, MESA, AZ 85209-4275
(480) 203-2531
Mailing address
1925 S SOSSAMAN RD STE 212, MESA, AZ 85209-4145
(480) 203-2531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6283
AZ
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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