NPI | 1073789814 |
---|---|
Doing Business As | SUN VALLEY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LARRY Q PHAN Dentist 602-248-9445 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D5978) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-05-01 |