| NPI | 1255118055 |
|---|---|
| Doing Business As | MODERN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JANNE MARJORIE LYNCH Owner 480-279-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-21 |