NPI | 1548452907 |
---|---|
Doing Business As | ESTRELLA FALLS DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAY S. SUAVERDEZ Dds/Managing Member 602-505-9243 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D5831) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2007-08-09 |