Organization
EASTRIDGE FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN G. LOVELL DMD (CO-PRESIDENT)
(480) 615-8585
Entity
Organization
Contact information
Practice address
9937 E BASELINE RD, STE. 104, MESA, AZ 85209-8330
(480) 615-8585
(480) 615-8686
Mailing address
9937 E BASELINE RD, STE. 104, MESA, AZ 85209-8330
(480) 615-8585
(480) 615-8686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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