NPI | 1407148026 |
---|---|
Former Legal Business Name | GLENFAIR DENTAL PARTNERS PLLC |
Entity Type | Organization |
Authorized Contact | WHITNEY B WRIGHT Manager 602-489-0298 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D0008186) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2024-04-15 |