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Organization
PRIME FAMILY DENTAL CARE, PC
Active
Organization
PRIME FAMILY DENTAL CARE, PC
Active
Other names
Prime Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC KERBS DDS (PRESIDENT)
(480) 648-4037
Entity
Organization
Contact information
Practice address
4704 E SOUTHERN AVE, MESA, AZ 85206-2737
(480) 648-4037
(480) 696-5505
Mailing address
4704 E SOUTHERN AVE, MESA, AZ 85206-2737
(480) 648-4037
(480) 696-5505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D6458
AZ
1223G0001X
General Practice Dentistry
Primary
D6458
AZ
Other
Enumeration date
05/17/2011
Last updated
12/06/2013
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