| NPI | 1437222809 |
|---|---|
| Doing Business As | PARADISE VALLEY PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | STEVEN GORDON REITAN President 480-991-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AZ 5633) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: AZ 2104) |
| 1223P0300X Dentist, Periodontics (Licence: AZ 5031) | |
| 1223P0300X Dentist, Periodontics (Licence: AZ 6988) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-01-27 |