Organization
GREENFIELD DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANNON JAY GUNNELL DDS (OWNER)
(480) 832-5190
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, SUITE 2, MESA, AZ 85205-7802
(480) 832-5190
(480) 654-9900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2564
AZ
122300000X
Dentist
7304
AZ
122300000X
Dentist
7577
AZ
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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