| NPI | 1508319237 |
|---|---|
| Other Name | TON SAN SIMON HEALTH CENTER DENTAL |
| Entity Type | Organization |
| Authorized Contact | EDWARD MANUEL Chairman 520-383-2028 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 122300000X) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |