Organization
MICHIKO MANAGEMENT, LLC
Active
Other names
Brookstone Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY A. MACK RDH (OWNER)
(480) 231-7020
Entity
Organization
Contact information
Practice address
3509 E ROCKY SLOPE DR, PHOENIX, AZ 85044-7094
(480) 231-7020
(480) 704-2272
Mailing address
16421 N TATUM BLVD, SUITE 202, PHOENIX, AZ 85032-3454
(602) 992-1639
(602) 992-9601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/18/2007
Last updated
08/22/2020
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