| NPI | 1548737208 |
|---|---|
| Doing Business As | VILLAGE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | BRADLEY J HENKENIUS Owner/President 928-774-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |