NPI | 1457735508 |
---|---|
Doing Business As | BELLA VISTA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEREMY GARRETT Owner 602-268-8808 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D6959) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2015-07-17 |