| NPI | 1518563139 |
|---|---|
| Doing Business As | DESERT RIDGE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN L GARDEA Owner/Dentist 520-886-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |