Organization
TOTAL DENTAL SPECIALISTS LLC
Active
Other names
Total Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA RAMOS (CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
3130 E BASELINE RD STE 105-106, MESA, AZ 85204-7290
(480) 701-6656
Mailing address
3130 E BASELINE RD STE 105-106, MESA, AZ 85204-7290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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