Organization
INTEGRA MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC L KERBS D.D.S. (OWNER)
(480) 964-8982
Entity
Organization
Contact information
Practice address
525 W SOUTHERN AVE, 128, MESA, AZ 85210-5031
(480) 964-8982
(480) 644-9945
Mailing address
525 W SOUTHERN AVE, 128, MESA, AZ 85210-5031
(480) 964-8982
(480) 644-9945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6458
AZ
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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