NPI | 1063618916 |
---|---|
Other Name | A TO Z PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOEL R CLARK Dentist 480-503-3764 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 5179) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2020-08-22 |