| NPI | 1386847218 |
|---|---|
| Former Legal Business Name | JEFFREY B. PICO DDS PC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRIAN PICO President 480-926-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AZ 4229) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2014-07-31 |