NPI | 1235697939 |
---|---|
Doing Business As | ARIZONA INSTITUTE FOR PERIODONTICS AND DENTAL IMPLANTS |
Entity Type | Organization |
Authorized Contact | LESLIE DAVIS Owner 623-584-0664 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2019-03-12 |
Last Update Date | 2019-03-12 |