Organization · Type 2 NPI

East Valley Periodontics

Periodontics · Mesa, AZ

NPI number 1063649192 Active

Practice location

6755 E Superstition Springs Blvd, Ste. 102
Mesa, AZ 85206-4373

Fax (480) 218-2247

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X2619 (AZ)
Periodontics 1223P0300X7751 (AZ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1063649192

East Valley Periodontics's National Provider Identifier is 1063649192, issued on Jun 16, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Mesa, AZ. The record was last updated on Jun 16, 2009.