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1801 Southern Vista Dental Care — NPI 1023102183, Mesa, AZ | NPI Central

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NPI 1023102183

OrganizationActive

1801 Southern Vista Dental Care

NPI 1023102183 · Dentist · Mesa, AZ

Provider details

NPI number: 1023102183
Entity type: Organization
Primary specialty: DentistDental Providers
Authorized official: Elwynn Caffall, Direct Owner
License: 6283 (AZ)

Practice location

1801 E Southern Ave

Suite 103

Mesa, AZ 85204-5258

Phone: (480) 892-9000

Fax: (480) 926-0545

More AZ providers

Mailing address

1801 E Southern Ave

Mesa, AZ 85204-5258

Registry dates

Enumerated: 2006-10-03
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.