Organization
JOSHO MANAGEMENT
Active
Other names
Foothills Vista Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MACK (OWNER/ MANAGING DIRECTOR)
(480) 231-7020
Entity
Organization
Contact information
Practice address
4505 E CHANDLER BLVD, SUITE 150, PHOENIX, AZ 85048-7684
(480) 753-3692
Mailing address
4505 E CHANDLER BLVD, SUITE 150, PHOENIX, AZ 85048-7684
(480) 753-3692
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4234
AZ
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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