| NPI | 1407037807 |
|---|---|
| Doing Business As | DBA FRONTIER DENTAL |
| Entity Type | Organization |
| Authorized Contact | RODNEY JENE GOLD President 520-514-1883 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3398) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2011-04-06 |