Organization
MOUNTAIN BRIDGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR CAFFALL DENTIST (OWNER)
(480) 981-8560
Entity
Organization
Contact information
Practice address
6812 E BROWN RD STE 102, MESA, AZ 85207-3757
(480) 981-8560
Mailing address
6812 E BROWN RD STE 102, MESA, AZ 85207-3757
(480) 981-8560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7794
AZ
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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