| NPI | 1316111057 |
|---|---|
| Doing Business As | GENERAL DENTISTRY FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH TANN In House Counsel 480-607-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D4964) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2013-11-26 |