Organization
DENTISTS OF QUEEN CREEK LLP
Active
Other names
DENTISTS OF QUEEN CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
MEENA A KASISA DMD (OWNER)
(480) 526-5306
Entity
Organization
Contact information
Practice address
200 W COMBS RD SUITE 101, QUEEN CREEK, AZ 85140
(480) 526-5306
(480) 525-9641
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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