Family Tooth Doctor Ll, LLC

NPI #1487792594 in Mesa, Arizona

Provider Information

NPI Number: 1487792594
Entity Type: Organization
Organization Name: Family Tooth Doctor Ll, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 1, 2007
Last Updated: Jul 24, 2007

Practice Location

Address: 4435 E BROADWAY RD
Address 2: SUITE 9
City: Mesa
State: Arizona
ZIP Code: 85206-2012
Phone: (480) 223-0255

Authorized Official

Name: JAMES FRANK KING
Title: OWNER
Phone: (480) 223-0255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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