NPI | 1457719114 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY MOW Owner 480-759-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-02-09 |