Organization
NOBUAKI MANAGEMENT
Active
Other names
Encanto Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A MACK R.D.H. (OWNER)
(480) 231-7020
Entity
Organization
Contact information
Practice address
1525 W THOMAS RD, PHOENIX, AZ 85015-6102
(602) 263-9039
(602) 263-9071
Mailing address
1525 W THOMAS RD, PHOENIX, AZ 85015-6102
(602) 263-9039
(602) 263-9071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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