| Missouri Commons Family Dental | |
|
1440 E Missouri Ave Ste 270 Phoenix AZ 85014-2458 | |
| (602) 248-7868 | |
| (602) 265-5946 |
| Full Name | Missouri Commons Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1440 E Missouri Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Rick Erwin Martin (OWNER) |
| Authorized Official Contact | 6022487868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Commons Family Dental 1440 E Missouri Ave Ste 270 Phoenix AZ 85014-2458 Ph: (602) 248-7868 | Missouri Commons Family Dental 1440 E Missouri Ave Ste 270 Phoenix AZ 85014-2458 Ph: (602) 248-7868 |
| NPI Number | 1083893275 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083893275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6555 (Arizona) | Primary |
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