Organization
PM DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MANESH DDS (OWNER)
(520) 568-7880
Entity
Organization
Contact information
Practice address
20800 N JOHN WAYNE PKWY STE 105, MARICOPA, AZ 85139-2728
(520) 568-7880
(520) 868-6794
Mailing address
20800 N JOHN WAYNE PKWY STE 105, MARICOPA, AZ 85139-2728
(520) 568-7880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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