| NPI | 1528511078 |
|---|---|
| Doing Business As | THORNYDALE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEFFERY W MCGEE Managing Member 520-744-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ AZ5200) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |