| NPI | 1982826558 |
|---|---|
| Doing Business As | MARANA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CARLTON FAIR Owner 520-616-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 5947) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |