Mountain Bridge Dental

NPI #1508247438 in Mesa, Arizona

Provider Information

NPI Number: 1508247438
Entity Type: Organization
Organization Name: Mountain Bridge Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 16, 2015
Last Updated: Jun 16, 2015

Practice Location

Address: 6812 E BROWN RD STE 102
City: Mesa
State: Arizona
ZIP Code: 85207-3757
Phone: (480) 981-8560

Authorized Official

Name: DR. TREVOR CAFFALL, DENTIST
Title: OWNER
Phone: (480) 981-8560

Specialties & Taxonomy Codes

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

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