# BRAD D. JUSTESEN D.D.S., P.C.

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

## Provider details

- **NPI number:** 1558581769
- **Authorized official:** DR. BRAD D JUSTESEN D.D.S. (PRESIDENT)
- **Authorized official phone:** (480) 839-0985

## Contact information

- **Practice address:** 2120 W. GUADALUPE RD., STUITE 5, MESA, AZ 85202
- **Practice address phone:** (480) 839-0985
- **Practice address fax:** (480) 730-8631
- **Mailing address:** 2120 W. GUADALUPE RD., STUITE 5, MESA, AZ 85202
- **Mailing address phone:** (480) 839-0985
- **Mailing address fax:** (480) 730-8631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2566 | AZ | Yes |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 06/02/2015