| NPI | 1053022129 |
|---|---|
| Doing Business As | MESA DENTAL HOME |
| Entity Type | Organization |
| Authorized Contact | ALHARETH DHARI Owner 716-430-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |