| NPI | 1548929110 |
|---|---|
| Doing Business As | MILLENNIUM DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GILBERT ANTONIO MORLOCK COO 480-840-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |