Organization
MESA DENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT STAPLEY DMD (MANAGER MEMBER)
(480) 830-8946
Entity
Organization
Contact information
Practice address
1259 N POWER RD, MESA, AZ 85205-4909
(480) 830-8946
(480) 854-3869
Mailing address
1259 N POWER RD, MESA, AZ 85205-4909
(480) 830-8946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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