| NPI | 1457454613 |
|---|---|
| Doing Business As | DENTAL VILLAGE |
| Entity Type | Organization |
| Authorized Contact | KEVIN GLEN BROWN Owner 520-319-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |