Organization
LEO J WIRTH DDS PC
Active
Other names
Duane L Wirth DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE L WIRTH DDS (DENTIST)
(480) 964-3124
Entity
Organization
Contact information
Practice address
1150 N COUNTRY CLUB DR, STE 11, MESA, AZ 85201-2537
(480) 964-3124
(480) 964-9252
Mailing address
1150 N COUNTRY CLUB DR, STE 11, MESA, AZ 85201-2537
(480) 964-3124
(480) 964-9252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2827
AZ
124Q00000X
Dental Hygienist
Primary
H0657
AZ
124Q00000X
Dental Hygienist
H0936
AZ
Other
Enumeration date
11/02/2005
Last updated
09/11/2025
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