NPI | 1235286469 |
---|---|
Doing Business As | VALLEYWIDE SUNSHINE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | FAWNE ELIZABETH PRYOR Insurance Manager 602-944-0073 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D5988) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |