NPI | 1407948409 |
---|---|
Former Legal Business Name | TEMPE DENTAL GROUP, LTD. |
Entity Type | Organization |
Authorized Contact | MARSHAL CASTLE CEO 480-831-0821 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Additional Taxonomies | 122300000X Dentist |
1223D0001X Dentist, Dental Public Health | |
1223E0200X Dentist, Endodontics | |
1223G0001X Dentist, General Practice | |
1223P0700X Dentist, Prosthodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
124Q00000X Dental Hygienist | |
126800000X Dental Assistant | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-08-22 |