Organization
SOSSAMAN FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L KERBS DDS (PRESIDENT)
(480) 648-4037
Entity
Organization
Contact information
Practice address
4704 E SOUTHERN AVE, SUITE # 118, MESA, AZ 85206-2737
(480) 648-4037
(480) 696-5505
Mailing address
4704 E SOUTHERN AVE, SUITE # 118, MESA, AZ 85206-2737
(480) 648-4037
(480) 696-5505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6458
AZ
1223G0001X
General Practice Dentistry
Primary
6458
AZ
Other
Enumeration date
03/30/2012
Last updated
12/06/2013
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