Brad D. Justesen D.d.s., P.c.

NPI #1558581769 in Mesa, Arizona

Provider Information

NPI Number: 1558581769
Entity Type: Organization
Organization Name: Brad D. Justesen D.d.s., P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 27, 2007
Last Updated: Jun 2, 2015

Practice Location

Address: 2120 W. GUADALUPE RD.
Address 2: STUITE 5
City: Mesa
State: Arizona
ZIP Code: 85202
Phone: (480) 839-0985

Authorized Official

Name: DR. BRAD D JUSTESEN, D.D.S.
Title: PRESIDENT
Phone: (480) 839-0985

Specialties & Taxonomy Codes

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

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