| NPI | 1437369972 |
|---|---|
| Doing Business As | VINTAGE PARK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HARRY N GREEN Dentist 623-640-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22057) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |