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Organization
ARIZONA DENTAL AFFILIATES, PLLC
Active
Organization
ARIZONA DENTAL AFFILIATES, PLLC
Active
Other names
Wellness Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SIBERA TROY BRANNON DDS (OWNER)
(520) 214-5546
Entity
Organization
Contact information
Practice address
2165 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
(520) 214-5546
Mailing address
2165 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
(520) 214-5546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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