IndividualActive
Joshua Mondlick, D.D.S.
NPI 1790746311 · Periodontics · Peoria, AZ
Provider details
- NPI number
- 1790746311
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019-026230 (IL)
Practice location
8671 W Union Hills Dr
Suite 501
Peoria, AZ 85382-7005
Phone: (623) 583-3960
Mailing address
8671 W Union Hills Dr
Peoria, AZ 85382-7005
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2016-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.