NPI 1134568637

Dantal Dental Corporation

Organisation Advanced Practice Dental Therapist Mesa, AZ

Practice location

Address: 500 W Southern Ave #1-3, Mesa, AZ 85210-5016
Phone: (480) 664-1449

Authorised official

Name: Dan Moshe Gafni
Title: President
Phone: (480) 664-1449

Registered specialties

Advanced Practice Dental Therapist Primary

Dental Providers Taxonomy 125K00000X Licence 8139 (AZ)

Other Advanced Practice Dental Therapist providers in Arizona →

Registry record

NPI: 1134568637
Entity type: Organization
NPI issued: 18 Jun 2013
Record last updated: 18 Jun 2013

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.