| NPI | 1194935353 |
|---|---|
| Former Legal Business Name | CENTERCARE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GARY MARSHALL STEEN Doctor 602-252-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 1576) |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: AZ 5015) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |