Organization
MECHAM ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER MECHAM DMD (OWNER ORTHODONTIST)
(480) 335-3480
Entity
Organization
Contact information
Practice address
16611 S 40TH ST STE 110, PHOENIX, AZ 85048-0563
(602) 805-8525
Mailing address
3502 E AUSTIN DR, GILBERT, AZ 85296-0614
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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