| 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 | 1223E0200X Dentist, Endodontics (Licence: AZ 5356) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |