Organization
HDP SANDSTROM DENTAL LLC
Active
Other names
Okun Dentistry - Mesa
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA RAMOS (CREDENTIALING LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
7448 E MAIN ST, MESA, AZ 85207-8306
(480) 376-2415
Mailing address
7448 E MAIN ST, MESA, AZ 85207-8306
(480) 376-2415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
10/22/2024
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