| Randall C. Bretzing | |
|
2820 E University Dr Suite 108 Mesa AZ 85213-8500 | |
| (480) 830-0262 | |
| (480) 981-8355 |
| Full Name | Randall C. Bretzing |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2820 E University Dr, Mesa, Arizona |
| Authorized Official Name and Position | Randall C. Bretzing (PRESIDENT) |
| Authorized Official Contact | 4803295703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall C. Bretzing 1727 N Chestnut Cir Mesa AZ 85213-3416 Ph: (480) 329-5703 | Randall C. Bretzing 2820 E University Dr Suite 108 Mesa AZ 85213-8500 Ph: (480) 830-0262 |
| NPI Number | 1528144052 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 01/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528144052 | NPI | - | NPPES |
| 0473020 | Other | BLUE CROSS BLUE SHIELD | |
| 974453 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D2490 (Arizona) | Primary |
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