Organization · Type 2 NPI
Baseline Road Dental LLC
Oral and Maxillofacial Surgery (Dentist) · Mesa, AZ
NPI number
1366281149
Active
Practice location
3130 E Baseline Rd 105/106
Mesa, AZ 85204
Fax (480) 452-1614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1366281149
Baseline Road Dental LLC's National Provider Identifier is 1366281149, issued on May 22, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mesa, AZ. The record was last updated on May 22, 2024.