| NPI | 1447649520 |
|---|---|
| Doing Business As | MAIN STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | EWA PLATACZ Office Manager 623-594-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5910) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |