Organization
MEGUMI MANAGEMENT LLC
Active
Other names
Westbrook Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MACK RDH, MBA (OWNER)
(480) 231-7020
Entity
Organization
Contact information
Practice address
8639 W UNION HILLS DR, PEORIA, AZ 85382-7000
(623) 876-1777
(623) 974-4974
Mailing address
8639 W UNION HILLS DR, PEORIA, AZ 85382-7000
(623) 876-1777
(623) 974-4974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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