| NPI | 1528487782 |
|---|---|
| Doing Business As | EL RIO SOUTHWEST DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CLINTON KUNTZ CEO 520-670-3909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-01-24 |