# BRASILIOPUNTIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gilbert Road Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457708786
- **Authorized official:** MR. JAMES P LANPHERE MBA (DIRECTOR OF FINANCE)
- **Authorized official phone:** (602) 225-0595

## Contact information

- **Practice address:** 2158 N GILBERT RD, SUITE 123, MESA, AZ 85203-2109
- **Practice address phone:** (480) 649-7200
- **Mailing address:** PO BOX 61025, PHOENIX, AZ 85082-1025
- **Mailing address phone:** (602) 225-0595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2016
- **Last updated:** 05/17/2016