| NPI | 1811189608 |
|---|---|
| Doing Business As | MARKETPLACE DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | RAY WILLIAM TUCKETT President 480-545-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4333) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |