# CASA GRANDE IMPRESSIONS II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IMPRESSIONS DENTAL, PC
- **Other names:** Impressions Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851521918
- **Legal business name:** IMPRESSIONS DENTAL, PC
- **Authorized official:** DR. KELLY BRANDON WETTSTEIN DMD (OWNER)
- **Authorized official phone:** (480) 814-8888

## Contact information

- **Practice address:** 442 W KORTSEN RD, SUITE 104, CASA GRANDE, AZ 85222-5913
- **Practice address phone:** (520) 374-2400
- **Practice address fax:** (520) 374-2500
- **Mailing address:** 442 W KORTSEN RD, SUITE 104, CASA GRANDE, AZ 85222-5913
- **Mailing address phone:** (520) 374-2400
- **Mailing address fax:** (520) 374-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D7749 | AZ | Yes |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 07/22/2009