DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COSMETIC FAMILY DENTAL CLINIC PC

Active Organization

COSMETIC FAMILY DENTAL CLINIC PC is a Dentist organization located in MESA, Arizona. NPI 1770609000 is currently active in the NPPES registry. Verify at CMS.

Dentist · MESA, AZ

Registration Details

NPI Number
1770609000
Provider Type
Organization
NPI Issued
Mar 21, 2007 (19.391946559294 yrs)
Last Updated
Aug 22, 2020
License
5118 (AZ)

Practice Information

Address
1236 E BASELINE RD
#103
MESA, AZ, 852046705
Browse AZ providers · Browse ZIP 85204
Phone
4805033600
Fax
4805033601
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.