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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