| NPI | 1285853671 |
|---|---|
| Doing Business As | COYOTE RIDGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KI NGO President Owner 480-917-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |