Organization
MESA DENTAL GROUP LLC
Active
Other names
Gilbert Road Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARTEL VANOOSTENDORP V DDS (DENTIST)
(480) 649-7200
Entity
Organization
Contact information
Practice address
2017 E ADOBE ST, SUITE 6, MESA, AZ 85213-6740
(480) 649-7200
(480) 649-7219
Mailing address
2017 E ADOBE ST, SUITE 6, MESA, AZ 85213-6740
(480) 649-7200
(480) 649-7219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5677
AZ
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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