| NPI | 1134283187 |
|---|---|
| Doing Business As | FRONTIER VILLAGE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JANE KATHLEEN LAMBERTUS Owner 928-541-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-06-26 |