Organization
GREEN 32 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANNON J GUNNELL DDS (OWNER/DENTIST)
(480) 570-3502
Entity
Organization
Contact information
Practice address
107 N GREENFIELD RD STE 2, MESA, AZ 85205-7802
(480) 832-5190
(480) 654-9900
Mailing address
107 N GREENFIELD RD STE 2, MESA, AZ 85205-7802
(480) 570-3502
(480) 654-9900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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