| NPI | 1457181000 |
|---|---|
| Doing Business As | MESA DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHASE DAVIS Managing Partner 480-396-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |