| NPI | 1134616378 |
|---|---|
| Doing Business As | SCOTTSDALE IMPLANT AND COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PORTIA L FREDSTRUP Owner 602-303-5827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D009808) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-06-16 |