| NPI | 1912649807 |
|---|---|
| Doing Business As | MESA GRAND DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MIRAN HO Owner 480-576-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |