NPI | 1568622025 |
---|---|
Doing Business As | PAVILION DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | ADAM P BLOCK Owner Doctor 623-572-0893 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-06-09 |
Last Update Date | 2013-12-31 |