1801 SOUTHERN VISTA DENTAL CARE
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1023102183- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1801 E SOUTHERN AVE SUITE 103, MESA, AZ, 852045258
- Phone
- (480) 892-9000
- Fax
- (480) 926-0545
Specialties & Taxonomies
Dentist
License: AZ #6283
Dentist
License: AZ #2561
Dentist
Primary License: AZ #6591