NPI | 1154066215 |
---|---|
Doing Business As | LEGACY SMILES OF SOUTHERN ARIZONA |
Entity Type | Organization |
Authorized Contact | JOB TORRES-GOMEZ Dentist 928-273-1244 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-05-15 |