# MOUNTAIN BRIDGE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508247438
- **Authorized official:** DR. TREVOR CAFFALL DENTIST (OWNER)
- **Authorized official phone:** (480) 981-8560

## Contact information

- **Practice address:** 6812 E BROWN RD STE 102, MESA, AZ 85207-3757
- **Practice address phone:** (480) 981-8560
- **Mailing address:** 6812 E BROWN RD STE 102, MESA, AZ 85207-3757
- **Mailing address phone:** (480) 981-8560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7794 | AZ | Yes |

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 06/16/2015