Organization
DESERT STATE DENTAL ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUBEN NELSON TURNER DDS (MANAGER)
(480) 332-5541
Entity
Organization
Contact information
Practice address
625 W SOUTHERN AVE STE E-145, MESA, AZ 85210-5030
(480) 332-5541
(866) 814-1886
Mailing address
625 W SOUTHERN AVE STE E-145, MESA, AZ 85210-5030
(480) 332-5541
(866) 814-1886
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884644
—
AZ
Enumeration date
02/01/2007
Last updated
06/29/2016
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