Organization
ICHIBA MANAGEMENT, LLC
Active
Other names
Mercado Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
TEENAH CURTIN (DIRECTOR, BILLING SERVICES)
(602) 687-9430
Entity
Organization
Contact information
Practice address
10135 E VIA LINDA, SUITE C-119, SCOTTSDALE, AZ 85258-5328
(480) 661-6633
Mailing address
10135 E VIA LINDA, SUITE C-119, SCOTTSDALE, AZ 85258-5328
(480) 661-6633
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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