Organization · Type 2 NPI
Dental Depot of Mesa PLLC
Dental Clinic/Center · Mesa, AZ
NPI number
1629659131
Active
Practice location
2311 W Broadway Rd
Mesa, AZ 85202-1005
Fax (480) 605-5013
Mailing address
2828 NW 30th St
Oklahoma City, OK 73112-7404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1629659131
Dental Depot of Mesa PLLC's National Provider Identifier is 1629659131, issued on Apr 16, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mesa, AZ. The record was last updated on Jun 13, 2025.