| NPI | 1053693531 |
|---|---|
| Doing Business As | SOUTH MESA DENTAL PARTNERS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BERNARDY Partner 480-461-9866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D008299) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |