NPI | 1598219719 |
---|---|
Doing Business As | ELEGANT DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRETT L SPERRY Owner 623-584-0733 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D009077) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ D02611) |
Enumeration Date | 2016-08-04 |
Last Update Date | 2016-08-04 |