Organization
BASELINE ROAD DENTAL LLC
Active
Other names
Desert Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA ROCHA (SR TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
3130 E BASELINE RD 105/106, MESA, AZ 85204
(480) 701-6656
(480) 452-1614
Mailing address
3130 E BASELINE RD 105/106, MESA, AZ 85204
(480) 701-6656
(480) 452-1614
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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