Organization
DESERT FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON ROBERT BASCAMP (OWNER)
(480) 940-5422
Entity
Organization
Contact information
Practice address
9880 S RURAL RD, SUITE 108, TEMPE, AZ 85284-4118
(480) 940-5422
(480) 940-5515
Mailing address
9880 S RURAL RD, SUITE 108, TEMPE, AZ 85284-4118
(480) 940-5422
(480) 940-5515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5967
AZ
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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