| NPI | 1073107884 |
|---|---|
| Doing Business As | MODERN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JANNE MARJORIE LYNCH Owner 480-279-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 122300000X Dentist |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X2210X Dentist Orofacial Pain | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2023-11-27 |