| NPI | 1225715386 |
|---|---|
| Doing Business As | FARMVILLE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CARLOS VALENZUELA Pediatric Dentist 520-250-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |