Organization
ARIZONA DENTAL AFFILIATES, PLLC
Active
Other names
Wellness Dental Mesa
Organization subpart
No
Provider details
NPI number
Authorized official
SIBERA TROY BRANNON DDS (OWNER)
(520) 376-8538
Entity
Organization
Contact information
Practice address
1157 S CRISMON RD STE 103, MESA, AZ 85208-2661
(520) 376-8538
Mailing address
1157 S CRISMON RD STE 103, MESA, AZ 85208-2661
(520) 376-8538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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