| NPI | 1083086920 |
|---|---|
| Doing Business As | SUN VALLEY PEDIATRIC DENTISTRY MESA |
| Entity Type | Organization |
| Authorized Contact | JOHN E BALLARD CFO, CIO 480-889-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |