NPI | 1083060339 |
---|---|
Doing Business As | IMPRESSIONS DENTAL CG |
Entity Type | Organization |
Authorized Contact | SPENCER D WEED Dentist/ Owner 520-374-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ 7344) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2016-05-05 |