Organization
BG DENTAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN GLEN MITCHELL D.D.S. (DENTIST)
(520) 881-6767
Entity
Organization
Contact information
Practice address
5255 E KNIGHT DR, TUCSON, AZ 85712-2147
(520) 881-6767
(520) 881-6767
Mailing address
5255 E KNIGHT DR, TUCSON, AZ 85712-2147
(520) 881-6767
(520) 881-6767
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
7359
AZ
Other
Enumeration date
12/14/2016
Last updated
02/22/2017
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