Organization
AMERICAN DENTAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA MOORHEAD D.D.S (DENTIST)
(480) 610-2401
Entity
Organization
Contact information
Practice address
1050 E UNIVERSITY DR STE 11, MESA, AZ 85203-8046
(480) 610-2401
Mailing address
1050 E UNIVERSITY DR STE 11, MESA, AZ 85203-8046
(480) 610-2401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4631
AZ
Other
Enumeration date
03/04/2007
Last updated
08/22/2020
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