Organization
MESA GRAND KIDS DENTISTRY AND ORTHODONTICS AZ LLP
Active
Other names
MESA GRAND DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MIRAN HO DDS (OWNER)
(480) 576-7378
Entity
Organization
Contact information
Practice address
1240 E BASELINE RD STE 100, MESA, AZ 85204-6700
(480) 576-7378
(480) 562-5845
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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