| NPI | 1306350459 |
|---|---|
| Doing Business As | PV DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HAROLD HENDERSON Owner/Dentist 928-772-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 9195) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |