| NPI | 1376200261 |
|---|---|
| Doing Business As | SURPRISE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA J SHAW Owner 623-777-3329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2021-11-26 |