Provider Demographics
NPI:1336495795
Name:MESCHI, LEYLA (DMD)
Entity Type:Individual
Prefix:DR
First Name:LEYLA
Middle Name:
Last Name:MESCHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 S PIERPONT
Mailing Address - Street 2:APT 2046
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4643
Mailing Address - Country:US
Mailing Address - Phone:858-337-7683
Mailing Address - Fax:
Practice Address - Street 1:5929 W PEORIA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-1207
Practice Address - Country:US
Practice Address - Phone:623-878-5339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD008532122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist