| NPI | 1578743753 |
|---|---|
| Former Legal Business Name | DIRECT DENTURES |
| Entity Type | Organization |
| Authorized Contact | AMANDA BISETTI Owner 623-875-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2022-07-21 |