NPI 1356885073

Bg Dental Incorporated

Organisation Prosthetic/Orthotic Supplier Tucson, AZ

Practice location

Address: 5255 E Knight Dr, Tucson, AZ 85712-2147
Phone: (520) 881-6767
Fax: (520) 881-6767

Authorised official

Name: Brian Glen Mitchell
Title: Dentist
Phone: (520) 881-6767

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 7359 (AZ)

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Registry record

NPI: 1356885073
Entity type: Organization
NPI issued: 14 Dec 2016
Record last updated: 22 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.