| NPI | 1225409014 |
|---|---|
| Doing Business As | DENTAL CARE OF MOON VALLEY |
| Entity Type | Organization |
| Authorized Contact | CHAD HINES Dentist, Owner 319-331-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 9188) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |