# RED MOUNTAIN FAMILY DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215212279
- **Authorized official:** DR. ERIC KERBS DDS (PRESIDENT)
- **Authorized official phone:** (480) 648-4037

## Contact information

- **Practice address:** 4704 E SOUTHERN AVE, MESA, AZ 85206-2737
- **Practice address phone:** (480) 648-4037
- **Practice address fax:** (480) 696-5505
- **Mailing address:** 4704 E SOUTHERN AVE, MESA, AZ 85206-2737
- **Mailing address phone:** (480) 648-4037
- **Mailing address fax:** (480) 696-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D6458 | AZ | — |
| 1223G0001X | General Practice Dentistry | D6458 | AZ | Yes |

## Other

- **Enumeration date:** 10/20/2011
- **Last updated:** 12/06/2013