| NPI | 1649601014 |
|---|---|
| Doing Business As | TOWN SQAURE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MACK Owner 480-888-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D07800) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |