| NPI | 1487190880 |
|---|---|
| Doing Business As | MESA VALLEY MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MIRAN HO Owner 480-376-0593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2022-04-13 |