| NPI | 1104109115 |
|---|---|
| Doing Business As | LIFETIME FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL K GREDING Owner 480-558-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6427) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |