| NPI | 1235278680 |
|---|---|
| Former Legal Business Name | MCINNES FAMILY DENTISTRY, PLLC |
| Entity Type | Organization |
| Authorized Contact | RON MCINNES President 480-961-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3433) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |