NPI | 1245062058 |
---|---|
Doing Business As | DIAZO FAMILY DENTAL AND BRACES |
Entity Type | Organization |
Authorized Contact | LUCAS BRIMLEY Owner/Member 623-845-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-08-19 |