NPI | 1255705919 |
---|---|
Entity Type | Organization |
Authorized Contact | OLGA DOLGHIER Dmd 623-535-7873 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D7306) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D7221) |
Enumeration Date | 2015-11-18 |
Last Update Date | 2015-11-18 |