Provider First Line Business Practice Location Address:
FOX FAMILY DENTAL
Provider Second Line Business Practice Location Address:
10147 W. GRAND AVE. SUITE A3
Provider Business Practice Location Address City Name:
SUN CITY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85351-3435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-523-0290
Provider Business Practice Location Address Fax Number:
623-523-0294
Provider Enumeration Date:
06/14/2006