Provider Demographics
NPI:1316022171
Name:TRU-VALUE DENTURE AND DENTAL CENTER
Entity Type:Organization
Organization Name:TRU-VALUE DENTURE AND DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:Y
Authorized Official - Last Name:KHALIFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-833-9942
Mailing Address - Street 1:1722 E UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8210
Mailing Address - Country:US
Mailing Address - Phone:480-833-9942
Mailing Address - Fax:480-833-6160
Practice Address - Street 1:1722 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8210
Practice Address - Country:US
Practice Address - Phone:480-833-9942
Practice Address - Fax:480-833-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Single Specialty
Not Answered292200000XLaboratoriesDental LaboratoryGroup - Single Specialty