NPI | 1437222536 |
---|---|
Former Legal Business Name | SANTA FE DENTAL |
Entity Type | Organization |
Authorized Contact | THOMAS M SIMS Owner 480-451-5888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3573) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |