Organization
FOUNTAIN FAMILY DENTAL CENTER, PLLC
Active
Other names
Fountains Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L KERBS DDS (MANAGING MEMBER)
(480) 766-8486
Entity
Organization
Contact information
Practice address
3930 S ALMA SCHOOL RD STE 6, CHANDLER, AZ 85248-4510
(480) 222-8083
(480) 222-8084
Mailing address
3930 S ALMA SCHOOL RD STE 6, CHANDLER, AZ 85248-4510
(480) 222-8083
(480) 222-8084
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6458
AZ
1223G0001X
General Practice Dentistry
6458
AZ
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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