| NPI | 1992428791 |
|---|---|
| Doing Business As | WELLNESS DENTAL MESA |
| Entity Type | Organization |
| Authorized Contact | SIBERA TROY BRANNON Owner 520-376-8538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |