| NPI | 1538586631 |
|---|---|
| Doing Business As | DENTAL |
| Entity Type | Organization |
| Authorized Contact | KAZANDRA E BARRIOS Owner 602-253-3459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |