Brasiliopuntia, LLC

NPI #1457708786 in Mesa, Arizona

Provider Information

NPI Number: 1457708786
Entity Type: Organization
Organization Name: Brasiliopuntia, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 17, 2016
Last Updated: May 17, 2016

Practice Location

Address: 2158 N GILBERT RD
Address 2: SUITE 123
City: Mesa
State: Arizona
ZIP Code: 85203-2109
Phone: (480) 649-7200

Authorized Official

Name: MR. JAMES P LANPHERE, MBA
Title: DIRECTOR OF FINANCE
Phone: (602) 225-0595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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