NPI | 1568778538 |
---|---|
Doing Business As | MERRILL RANCH FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ERIC LYNN KERBS President 480-648-4037 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6458) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ 6458) |
Enumeration Date | 2010-08-27 |
Last Update Date | 2013-12-06 |