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Organization

MESA IMPLANTS & PERIODONTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELODIA MARIA GARCIA (OFFICE MANAGER)
(480) 203-2666
Entity
Organization

Contact information

Practice address
2812 N NORWALK BLDG 13, SUITE 126, MESA, AZ 85215-1148
(480) 203-2666
(480) 939-2980
Mailing address
2812 N NORWALK BLDG 13126, MESA, AZ 85215-1148
(480) 203-2666
(480) 939-2980

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1223S0112X
Oral and Maxillofacial Surgery (Dentist)

Other

Enumeration date
08/13/2024
Last updated
08/13/2024
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