NPI | 1215327507 |
---|---|
Former Legal Business Name | SAN TAN ENDODONTICS, P.C. |
Entity Type | Organization |
Authorized Contact | MARK A KERR President 480-545-4120 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223X2210X Dentist, Orofacial Pain | |
Enumeration Date | 2015-01-26 |
Last Update Date | 2025-09-02 |