| NPI | 1114189487 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CINDY HALLMAN Vice President 602-870-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ f0049) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2009-11-09 |