| NPI | 1275687790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD KENNETH SNYDER Dental Clinic Director 602-261-6825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ AZ2056) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |