| Green 32 Pllc | |
|
107 N Greenfield Rd Ste 2 Mesa AZ 85205-7802 | |
| (480) 832-5190 | |
| (480) 654-9900 |
| Full Name | Green 32 Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 N Greenfield Rd Ste 2, Mesa, Arizona |
| Authorized Official Name and Position | Brannon J Gunnell (OWNER/DENTIST) |
| Authorized Official Contact | 4805703502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green 32 Pllc 107 N Greenfield Rd Ste 2 Mesa AZ 85205-7802 Ph: (480) 570-3502 | Green 32 Pllc 107 N Greenfield Rd Ste 2 Mesa AZ 85205-7802 Ph: (480) 832-5190 |
| NPI Number | 1013740018 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013740018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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