Organization
ULTRA DENTAL MESA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY YASSO DMD (OWNER/DENTIST)
(248) 705-8334
Entity
Organization
Contact information
Practice address
1116 S STAPLEY DR STE B108, MESA, AZ 85204-5051
(602) 943-3700
Mailing address
2938 E ROBIN LN, PHOENIX, AZ 85050-8420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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