| NPI | 1326879842 |
|---|---|
| Doing Business As | PASEO RANCH PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA WIETH Payor Relations Manager 623-267-8121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |