| NPI | 1497341176 |
|---|---|
| Doing Business As | NOVELLY FAMILY DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JARED POPE Manager Member 480-332-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-22 |