Organization
MANDALENE MIRKHAH DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANDALENE MIRKHAH (DENTIST)
(602) 561-4092
Entity
Organization
Contact information
Practice address
717 W GLENDALE AVE, PHOENIX, AZ 85021-8629
(602) 861-0800
Mailing address
717 W GLENDALE AVE, PHOENIX, AZ 85021-8629
(602) 861-0800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008869
AZ
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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