NPI | 1235644048 |
---|---|
Doing Business As | BRANNON DENTAL |
Entity Type | Organization |
Authorized Contact | KAREN JEAN STRUCK Office Administrator 480-897-2483 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-12-04 |
Last Update Date | 2017-12-04 |