NPI | 1134607641 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN SCOTT COOMBS Owner 480-250-4301 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ az5217) |
Enumeration Date | 2018-08-06 |
Last Update Date | 2018-08-06 |