Fountain Family Dental Center, Pllc

NPI 1700103538 - Dentist - 1223G0001X

NPI Details
NPI 1700103538
Enumeration Date 05/04/2010
Last Updated 05/04/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ERIC L ERIC
Position MANAGING MEMBER
Phone (480) 222-8083
Fax (480) 222-8084
Practice Location
3930 S ALMA SCHOOL RD STE 6
CHANDLER AZ, 85248-4510, US
Phone (480) 222-8083
Fax (480) 222-8084
Business Location
3930 S ALMA SCHOOL RD STE 6
CHANDLER AZ, 85248-4510, US
Phone (480) 222-8083
Fax (480) 222-8084
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number 6458
Remove 1700103538 NPI Number
 

According to our database, Fountain Family Dental Center, Pllc NPI is 1700103538, taxonomy code is 1223G0001X and license number is 6458, license state is located at Arizona. Fountain Family Dental Center, Pllc physically located at 3930 S Alma School Rd Ste 6, Chandler AZ, 85248-4510. NPI Number 1033115704 has the healthcare provider type.

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1700103538 NPI number is provided on an as is basis without warranty of any kind. 1700103538 is maintained by the National Plan & Provider Enumeration System. The contents of Fountain Family Dental Center, Pllc are for informational purposes only.