| NPI | 1598035875 |
|---|---|
| Doing Business As | ADVANCED DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ADAM L STOUT Manager 928-778-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |