NPI | 1558780023 |
---|---|
Doing Business As | EL RIO NW DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | CLINTON KUNTZ CEO 520-309-2012 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2014-04-14 |
Last Update Date | 2023-03-02 |