NPI | 1245655182 |
---|---|
Doing Business As | ADSA |
Entity Type | Organization |
Authorized Contact | DALLIN RICHARD BIRCH Partner 480-598-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D7605) |
Enumeration Date | 2014-03-01 |
Last Update Date | 2014-11-24 |