NPI | 1750495743 |
---|---|
Doing Business As | FAMILY CARE DENTISTRY |
Entity Type | Organization |
Authorized Contact | E MARK WADE Owner/President 480-926-7363 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3277) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2020-08-22 |