Organization
DANTAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN MOSHE GAFNI D.M.D (PRESIDENT)
(480) 664-1449
Entity
Organization
Contact information
Practice address
500 W SOUTHERN AVE, #1-3, MESA, AZ 85210-5016
(480) 664-1449
Mailing address
500 W SOUTHERN AVE, #1-3, MESA, AZ 85210-5016
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
8139
AZ
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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