Organization
SHREEVE DENTAL LLC
Active
Other names
Superstition Lakes Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE G SHREEVE DMD (OWNER)
(480) 924-5577
Entity
Organization
Contact information
Practice address
2500 S POWER RD, STE 131, MESA, AZ 85209-6686
(480) 924-5577
(480) 924-5573
Mailing address
2500 S POWER RD, STE 131, MESA, AZ 85209-6686
(480) 924-5577
(480) 924-5573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/22/2011
Last updated
11/29/2011
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