NPI | 1043579360 |
---|---|
Doing Business As | DENTAL CARE AT ANTHEM |
Entity Type | Organization |
Authorized Contact | NICHOLAS PILE Dentist 623-551-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D5791) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ D008262) |
Enumeration Date | 2012-05-07 |
Last Update Date | 2012-05-07 |