Organization
A T STILL UNIVERSITY OF HEALTH SCIENCES
Active
Other names
The Center for Advanced Oral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY MOTAHARI DMD (DEAN)
(480) 248-8162
Entity
Organization
Contact information
Practice address
5835 E STILL CIR, MESA, AZ 85206-3618
(480) 248-8107
(623) 223-7073
Mailing address
5835 E STILL CIR, MESA, AZ 85206-3618
(480) 219-6183
(480) 907-2194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Enumeration date
05/25/2007
Last updated
03/17/2025
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