Organization
MESA VALLEY MODERN DENTISTRY, LLP
Active
Other names
Mesa Valley Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MIRAN HO DDS (OWNER)
(480) 376-0593
Entity
Organization
Contact information
Practice address
1712 S, COUNTRY CLUB DRIVE, STE 104, MESA, AZ 85210
(480) 376-0593
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
04/13/2022
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