NPI | 1124394515 |
---|---|
Doing Business As | DBA DEER VALLEY SMILES |
Entity Type | Organization |
Authorized Contact | TAROLL A GRAZIANO Managor 623-434-0620 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2012-03-29 |
Last Update Date | 2012-03-29 |