NPI | 1154140770 |
---|---|
Doing Business As | TATUM PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES CHRISTOPHER GUYMON Owner 602-788-4873 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2024-10-09 |
Last Update Date | 2024-11-25 |