| NPI | 1043471493 |
|---|---|
| Doing Business As | DISTINCTIVE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | PAUL JUAN WULFF Owner 928-445-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D3674) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |