| NPI | 1124549191 |
|---|---|
| Doing Business As | MODERN DENTISTRY OF SUNCITY |
| Entity Type | Organization |
| Authorized Contact | ANDREA J BOTAR Owner 623-977-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |