| NPI | 1174771612 |
|---|---|
| Doing Business As | KATSUR DENTAL OF ARIZONA |
| Entity Type | Organization |
| Authorized Contact | TERRI GARDINER Credentialing Coordinator 407-772-5124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5216) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 5795) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2010-11-12 |