Organization
MK TELEDENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY THOMPSON (FOUNDER)
(623) 999-5643
Entity
Organization
Contact information
Practice address
3851 N 28TH ST APT 212, PHOENIX, AZ 85016-6832
(623) 999-5643
Mailing address
3851 N 28TH ST APT 212, PHOENIX, AZ 85016-6832
(623) 999-5643
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
07/17/2023
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