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Organization
BRAD D. JUSTESEN D.D.S., P.C.
Active
Organization
BRAD D. JUSTESEN D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD D JUSTESEN D.D.S. (PRESIDENT)
(480) 839-0985
Entity
Organization
Contact information
Practice address
2120 W. GUADALUPE RD., STUITE 5, MESA, AZ 85202
(480) 839-0985
(480) 730-8631
Mailing address
2120 W. GUADALUPE RD., STUITE 5, MESA, AZ 85202
(480) 839-0985
(480) 730-8631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2566
AZ
Other
Enumeration date
04/27/2007
Last updated
06/02/2015
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