Organization · Type 2 NPI

Pda Holdco, LLC

Dental Clinic/Center · Mesa, AZ

NPI number 1821369455 Active

Practice location

1457 W Southern Ave Ste 18
Mesa, AZ 85202-4853

Call (480) 610-2300 Map

Fax (480) 833-0682

Mailing address

1701 E Thomas Rd, Suite #204
Phoenix, AZ 85016-7646

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	D5504 (AZ)
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Scottsdale Pediatric DentistryDentist Mesa, AZ NPI 1598509796

Other dental clinic/center providers in Mesa

See all in Mesa →

NPI record

NPI: 1821369455
Entity type: Organization (Type 2)
Issued: Jan 12, 2012
Last updated: Feb 7, 2023
Status: Active
Subpart: Yes of Pda Holdings

Other names

<unavail>
Magic Smiles Dental · doing business as
Magic Smiles Dental · doing business as
Magic Smiles Dental Care · doing business as

Authorized official

Daniel Morrissey
President
(602) 253-6600

Verify this record

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About NPI 1821369455

Pda Holdco, LLC's National Provider Identifier is 1821369455, issued on Jan 12, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mesa, AZ. The record was last updated on Feb 7, 2023.