Organization · Type 2 NPI

East Valley Implant & Periodontal Center

Periodontics · Mesa, AZ

NPI number 1376019075 Active

Practice location

3048 E Baseline Rd Ste 112
Mesa, AZ 85204-7287

Fax (480) 827-9703

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

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 1376019075

East Valley Implant & Periodontal Center's National Provider Identifier is 1376019075, issued on Oct 19, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Mesa, AZ. The record was last updated on Oct 19, 2018.