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 |