Organization
BELLA VIA DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BUHRLEY DMD (MANAGER)
(480) 292-8429
Entity
Organization
Contact information
Practice address
4425 S MOUNTAIN RD STE 106, MESA, AZ 85212-7132
(480) 292-8429
Mailing address
4425 S MOUNTAIN RD STE 106, MESA, AZ 85212-7132
(480) 292-8429
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659412005
—
AZ
Enumeration date
01/25/2019
Last updated
01/25/2019
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