Provider Demographics
NPI:1588782130
Name:SZETO, MITCHELL (DDS)
Entity type:Individual
Prefix:
First Name:MITCHELL
Middle Name:
Last Name:SZETO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7333 W THOMAS RD
Mailing Address - Street 2:STE 72
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85033-5546
Mailing Address - Country:US
Mailing Address - Phone:623-245-1000
Mailing Address - Fax:623-245-1010
Practice Address - Street 1:7333 W THOMAS RD
Practice Address - Street 2:STE 72
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-5546
Practice Address - Country:US
Practice Address - Phone:623-245-1000
Practice Address - Fax:623-245-1010
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice