NPI | 1043902208 |
---|---|
Doing Business As | DESERT SUMMIT DENTISTRY |
Entity Type | Organization |
Authorized Contact | SHYLAH GABRIEL Member 602-999-6299 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-05-24 |
Last Update Date | 2023-05-24 |