NPI | 1285172551 |
---|---|
Doing Business As | PREMIER FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | BECKY ONDA Director Of Credentialing 480-889-9457 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-02-07 |