NPI | 1396266417 |
---|---|
Doing Business As | CHOLLA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MONICA DEWITT Office Administrator 602-914-4274 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2017-06-28 |
Last Update Date | 2023-05-22 |