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 |