Individual
DR. BRYCE E. JUSTESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2830 E BROWN RD, SUITE 6, MESA, AZ 85213-5430
(480) 835-5945
(480) 890-2176
Mailing address
946 E. HACKAMORE, ST., MESA, AZ 85203
(480) 835-5945
(480) 890-2176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D2731
AZ
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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