# ARIZONA DENTAL AFFILIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellness Dental Mesa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992428791
- **Authorized official:** SIBERA TROY BRANNON DDS (OWNER)
- **Authorized official phone:** (520) 376-8538

## Contact information

- **Practice address:** 1157 S CRISMON RD STE 103, MESA, AZ 85208-2661
- **Practice address phone:** (520) 376-8538
- **Mailing address:** 1157 S CRISMON RD STE 103, MESA, AZ 85208-2661
- **Mailing address phone:** (520) 376-8538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2022
- **Last updated:** 09/26/2022