| NPI | 1124105291 |
|---|---|
| Doing Business As | DENTAL GROUP OF AHWATUKEE |
| Entity Type | Organization |
| Authorized Contact | LAUREN HILL Director, Rcm 972-930-7707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 122300000X Dentist | |
| 1223E0200X Dentist, Endodontics | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-06-16 |