NPI | 1588990642 |
---|---|
Doing Business As | YUMA DENTAL |
Entity Type | Organization |
Authorized Contact | JUSTIN CHURCH Dentist 480-206-0139 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 7892) |
Enumeration Date | 2009-10-26 |
Last Update Date | 2010-11-04 |