| NPI | 1790239010 |
|---|---|
| Doing Business As | STETSON VILLAGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY R BROCK Manager 623-533-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 8885) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |