MAIN STREET PRACTICE LLC

PHOENIX, AZ
NPI1447455670
Doing Business AsCANYON DENTAL
Entity TypeOrganization
Authorized ContactJULIE MCLEOD
CEO
520-290-6181
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2007-06-18
Last Update Date2020-08-22
Business Address
MAIN STREET PRACTICE LLC
2837 W NORTHERN AVE
PHOENIX, AZ 85051-6646
Phone number: 602-995-2419
Mailing Address
MAIN STREET PRACTICE LLC
11550 E IRVINGTON RD
TUCSON, AZ 85747-8925
Phone number: