Individual
MARCO CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201-6920
(877) 809-5092
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5726
AZ
Other
Enumeration date
01/12/2007
Last updated
08/03/2020
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