Organization
PEMA DENTAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH PEMA (OWNER)
(480) 832-9199
Entity
Organization
Contact information
Practice address
454 N LINDSAY RD STE 4, MESA, AZ 85213-7708
(480) 832-9199
Mailing address
454 N LINDSAY RD STE 4, MESA, AZ 85213-7708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6545
AZ
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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