Individual
SUMIR PRASAD MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3017 E INDIGO ST, MESA, AZ 85213-5573
(480) 832-4725
Mailing address
1155 S POWER RD, MESA, AZ 85206-3715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008169
AZ
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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