| NPI | 1225537111 |
|---|---|
| Doing Business As | BURNET ROAD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAM BUCKHANAN Insurance Coordinator 480-560-5183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5904) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |