Organization
DENTAL CENTER OF MESA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KALIKA DMD (OWNER/DENTIST)
(480) 834-9001
Entity
Organization
Contact information
Practice address
1545 E UNIVERSITY DR, MESA, AZ 85203-8132
(480) 834-9001
(480) 844-8206
Mailing address
1545 E UNIVERSITY DR, MESA, AZ 85203-8132
(480) 834-9001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D06367
AZ
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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