MARK W ANDERSON DDS PC
Dentist in Mesa, AZ

License number
Arizona 4831
Category
Dentist
Type
General Practice
Owner
Name: DR. MARK WILLIAM ANDERSON DDS
Title: DENTIST OWNER
Phone: (480) 633-3447
Address
Address
4824 Suite122 BLDG 3, Mesa, AZ 85206
National Provider ID: 1467507418
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK W. ANDERSON, D.D.S., PC

Ste 122 BLDG 3, Mesa, AZ 85206

Registration:
Feb 14, 2000
State ID:
-0939542-9
Expiration:
Perpetual
President/ceo:
Mark W Anderson Dds (President/ceo), 4824 E Baseline Rd #122, Mesa, AZ 85206 (Physical)
Agent:
Benjamin D Benedict,3333 E Camelback Rd #175, Phoenix, AZ 85018 (Physical)
Business type:
Health Care

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