NPI | 1245833441 |
---|---|
Doing Business As | BELL ROAD DENTISTRY |
Entity Type | Organization |
Authorized Contact | TERA GOOLSBY Accountant 623-289-2616 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-11-19 |
Last Update Date | 2020-11-19 |