Organization
FAMILY TOOTH DOCTOR LL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FRANK KING (OWNER)
(480) 223-0255
Entity
Organization
Contact information
Practice address
4435 E BROADWAY RD, SUITE 9, MESA, AZ 85206-2012
(480) 223-0255
(480) 654-0705
Mailing address
4435 E BROADWAY RD, SUITE 9, MESA, AZ 85206-2012
(480) 223-0255
(480) 654-0705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4215
AZ
Other
Enumeration date
02/01/2007
Last updated
07/24/2007
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