NPI | 1013447879 |
---|---|
Former Legal Business Name | JASON H NORDEAN DDS PLLC |
Entity Type | Organization |
Authorized Contact | JASON H NORDEAN Dentaist 602-650-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D008657) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2022-07-21 |