NPI | 1396958823 |
---|---|
Doing Business As | PARADISE RIDGE DENTISTRY |
Entity Type | Organization |
Authorized Contact | VICTORIA M PEYGHAMBARIAN Office Manager 602-867-8448 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5724) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: AZ 6000) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-08-22 |