NPI | 1275744047 |
---|---|
Doing Business As | MARKET STREET DENTA |
Entity Type | Organization |
Authorized Contact | JEAN D LUKASKA Dentist 480-563-0069 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5733) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2008-06-19 |