Organization
PERFECT TEETH - GUADALUPE P.C.
Active
Other names
Perfect Teeth - Guadalupe P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
8257 E. GUADALUPE RD., SUITE 121, MESA, AZ 85212
(480) 357-3838
(480) 357-5252
Mailing address
8257 E. GUADALUPE RD., SUITE 121, MESA, AZ 85212
(480) 357-3838
(480) 357-5252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
CO
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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