NPI | 1295190643 |
---|---|
Doing Business As | SMILE ARIZONA DENTISTRY |
Entity Type | Organization |
Authorized Contact | BETH VANDER SCHAAF Dentist 480-994-5225 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D04426) |
Enumeration Date | 2015-12-29 |
Last Update Date | 2020-07-30 |