Mountain Park Dentistry LLC
Mountain Park Dentistry LLC is a General Practice Dentistry in Phoenix, Arizona. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15215 S 48th St Ste 175Phoenix, AZ 85044-9140
Phone: (480) 759-9300
Fax: (480) 759-2130
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|---|
| Periodontics | Taxonomy 1223P0300X |
Record details
| NPI number | 1457719114 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randy Mow — Owner · (480) 759-9300 |
| NPI enumerated | February 9, 2016 |
| Last updated in NPPES | February 9, 2016 |
| Mailing address | 15215 S 48th St Ste 175, Phoenix, AZ 85044-9140 |
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Dr. Samuel A Mortensen, DMD
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Dr. Randy L Mow, DDS
15215 S 48th St Ste 175, Phoenix, AZ 85044-9140 · (480) 759-9300
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