| NPI | 1861751661 |
|---|---|
| Doing Business As | BROWN ROAD DENTAL |
| Entity Type | Organization |
| Authorized Contact | NATHAN R PORTER CEO 480-834-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 7582) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |