NPI | 1104008499 |
---|---|
Doing Business As | SOSSAMAN DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MORRIE ORVILLE TALBOT President 480-203-2531 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D6283) |
Enumeration Date | 2007-11-29 |
Last Update Date | 2007-11-29 |