| NPI | 1114305158 |
|---|---|
| Doing Business As | FOOTHILLS VISTA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KIM MACK Owner/ Managing Director 480-231-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D4234) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |