| NPI | 1215320551 |
|---|---|
| Doing Business As | AVONDALE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID HUMMITZSCH Owner 623-772-5362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-13 |