| NPI | 1396198263 |
|---|---|
| Doing Business As | HAVASU DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAURA VAUGHN Manager 928-733-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |