NPI | 1396003448 |
---|---|
Doing Business As | WESTBROOK VILLAGE DENTAL |
Entity Type | Organization |
Authorized Contact | KIM MACK Owner 480-231-7020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-04-26 |
Last Update Date | 2012-04-26 |