Organization
DENTISTRY AT MARICOPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY ONDA (DIRECTOR OF CREDENTIALING)
(480) 889-9457
Entity
Organization
Contact information
Practice address
20046 N. JOHN WAYNE PKWY, STE 105, MARICOPA, AZ 85139
(520) 316-6100
Mailing address
4435 E HOLMES AVE STE 200, MESA, AZ 85206-3314
(480) 889-9457
(602) 726-2605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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