Dental And Braces Mesa Llc

LBN: Dental And Braces Mesa Llc
Dental And Braces Mesa Llc is an health care organization with primary practice located at 1245 E Southern Ave Ste 12 , Mesa AZ 85204-5138. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Dental And Braces Mesa Llc can be contacted via phone (480) 636-9970, or through Ramos, Liz via phone (602) 714-8203.

Contact Information

Primary practice address
1245 E Southern Ave Ste 12 Mesa AZ 85204-5138
Phone: (480) 636-9970
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ramos, Liz
Phone: (602) 714-8203

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1659835932
LBN Legal business name Dental And Braces Mesa Llc
DBA Doing business as
Authorized official Ramos, Liz
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2019
Last updated Jan 30th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659835932 NPPES
Arizona MEDICAID 246754

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