| Arizona Dental Affiliates, Pllc | |
|
1157 S Crismon Rd Ste 103 Mesa AZ 85208-2661 | |
| (520) 376-8538 | |
| Not Available |
| Full Name | Arizona Dental Affiliates, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1157 S Crismon Rd Ste 103, Mesa, Arizona |
| Authorized Official Name and Position | Sibera Troy Brannon (OWNER) |
| Authorized Official Contact | 5203768538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Dental Affiliates, Pllc 1157 S Crismon Rd Ste 103 Mesa AZ 85208-2661 Ph: (520) 376-8538 | Arizona Dental Affiliates, Pllc 1157 S Crismon Rd Ste 103 Mesa AZ 85208-2661 Ph: (520) 376-8538 |
| NPI Number | 1992428791 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992428791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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