| NPI | 1063635985 |
|---|---|
| Doing Business As | AZ DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | DEBBIE A GRAGG Practice Manager 480-222-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5144) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D5136) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |