Organization · Type 2 NPI

Main Street Practice LLC

General Practice Dentistry · Phoenix, AZ

NPI number 1447455670 Active

About NPI 1447455670

Main Street Practice LLC's National Provider Identifier is 1447455670, issued on Jun 18, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 22, 2020.