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

PDA HOLDCO, LLC

Active Organization

Dental Clinic · MESA, AZ

Registration Details

NPI Number
1821369455
Provider Type
Organization
NPI Issued
Jan 12, 2012 (14.291111387354 yrs)
Last Updated
Feb 7, 2023
License
D5504 (AZ)

Practice Information

Address
1457 W SOUTHERN AVE STE 18
MESA, AZ, 852024853
Browse AZ providers · Browse ZIP 85202
Phone
4806102300
Fax
4808330682
Primary Specialty
Dental Clinic
261QD0000X
Additional Specialty
Dental Clinic

Other Dental Clinic Organizations in MESA, AZ

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.