FAMILY DENTAL PHOENIX

PHOENIX, AZ
NPI1205445749
Entity TypeOrganization
Authorized ContactMARVIN BLANE JACKSON
Dds
435-637-2100
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-07-30
Last Update Date2020-07-30
Business Address
FAMILY DENTAL PHOENIX
2401 W GLENDALE AVE STE 102
PHOENIX, AZ 85021-7621
Phone number: 602-864-1119
Mailing Address
FAMILY DENTAL PHOENIX
2401 W GLENDALE AVE STE 102
PHOENIX, AZ 85021-7621
Phone number: 602-864-1119
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