NPI 1013053057
Western Dental of Arizona, INC.
Practice location
- Address
- 1161 E Main St, Mesa, AZ 85203-8823
- Phone
- (480) 834-1555
- Fax
- (480) 962-6710
- Mailing address
- 530 S Main St, Orange, CA 92868-4525
Authorised official
- Name
- Cindy E. Avalos
- Title
- Ppocoordinator
- Phone
- (714) 480-3000
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1013053057
- Entity type
- Organization
- NPI issued
- 29 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.