NPI | 1477767010 |
---|---|
Former Legal Business Name | CHRISTINE L O CLAVERIA DMD |
Entity Type | Organization |
Authorized Contact | CHRISTINE LYNN DIMERO CLAVERIA President Dentist 480-987-9220 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ 3335) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |