| NPI | 1275331340 |
|---|---|
| Doing Business As | MID PENINSULA DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | GABY JAMES Credentialing Specialist 480-581-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |