| NPI | 1083893275 |
|---|---|
| Doing Business As | MISSOURI COMMONS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICK ERWIN MARTIN Owner 602-248-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6555) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |