| NPI | 1053332262 |
|---|---|
| Doing Business As | TINY TEETH DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DAN L NYDEGGER Owner 602-776-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5540) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |