| NPI | 1598362105 |
|---|---|
| Other Name | OCOTILLO FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUNEETA ANNAMAREDDY Owner 480-802-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |