NPI | 1083738926 |
---|---|
Doing Business As | BROOKSTONE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | KIMBERLY A. MACK Owner 480-231-7020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-03-18 |
Last Update Date | 2020-08-22 |