Individual
MEENA A KASISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
41620 W MARICOPA CASA GRANDE HWY STE 110, MARICOPA, AZ 85138-3217
(520) 568-2800
Mailing address
19778 E CARRIAGE WAY, QUEEN CREEK, AZ 85142-8670
(480) 227-1055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010885
AZ
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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