NPI | 1083724579 |
---|---|
Doing Business As | WEST VALLEY FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | DEE BRETALL Office Manager 623-376-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ 3303) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ 6691) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |