Organization
MIDEX DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J VELASCO JR. DDS (MANAGER)
(602) 206-6964
Entity
Organization
Contact information
Practice address
6337 N 75TH ST, SCOTTSDALE, AZ 85250-4623
(602) 206-6964
Mailing address
652 E WARNER RD, STE 101, GILBERT, AZ 85296-3071
(480) 545-8400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AZ3740
AZ
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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