| NPI | 1174824619 |
|---|---|
| Doing Business As | YUMA DENTAL |
| Entity Type | Organization |
| Authorized Contact | JUSTIN CHURCH Dentist 480-206-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 7892) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |