NPI | 1326110024 |
---|---|
Former Legal Business Name | MARK S. ANTHONY, DDS |
Entity Type | Organization |
Authorized Contact | MARK S ANTHONY Owner Dentist 480-832-4567 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 3908) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2016-10-13 |