Organization
MESA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE DANIEL DAVIS DDS (OWNER/DENTIST)
(480) 396-9900
Entity
Organization
Contact information
Practice address
1423 S HIGLEY RD STE 101, MESA, AZ 85206-3449
(480) 396-9900
Mailing address
3010 E FRUITVALE AVE, GILBERT, AZ 85297-5261
(480) 341-0095
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D008289
AZ
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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