| NPI | 1326786203 |
|---|---|
| Doing Business As | DENTAL CO. OF YUMA |
| Entity Type | Organization |
| Authorized Contact | JASON BOESKIN Dentist 928-782-4369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-22 |
| Last Update Date | 2022-05-22 |