Organization
FULCHER DENTAL PLC
Active
Other names
Town Sqaure Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MACK RDH (OWNER)
(480) 888-8095
Entity
Organization
Contact information
Practice address
1166 S GILBERT RD STE 117, GILBERT, AZ 85296-3462
(480) 888-8095
(480) 888-7222
Mailing address
1166 S GILBERT RD STE 117, GILBERT, AZ 85296-3462
(480) 888-8095
(480) 888-7222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D07800
AZ
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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