| NPI | 1114568029 |
|---|---|
| Doing Business As | HORACEK DENTAL |
| Doing Business As | TOTAL HEALTH DENTAL CARE |
| Doing Business As | ON Q DENTISTRY |
| Doing Business As | BROADWAY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MELODY BENNION Director Of Integrations 480-234-8490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2021-07-20 |