NPI | 1225709074 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA LEIGH ZWICKY Credentialing Manager 480-866-8811 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-09-22 |
Last Update Date | 2021-09-22 |