| NPI | 1174115687 |
|---|---|
| Doing Business As | BROOKSTONE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | SHERRY LYN CONNELLY Director Of Billing Services 602-687-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |