| NPI | 1245089952 |
|---|---|
| Doing Business As | MARYVALE CHILDREN'S DENTISTRY |
| Doing Business As | MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JESSE MCGUIRE Member 480-432-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |