| NPI | 1114547304 |
|---|---|
| Doing Business As | GLENDALE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | SANDRA LEE Endodontist 623-248-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-20 |