NPI | 1609069574 |
---|---|
Doing Business As | ASSOCIATED DENTAL CARE TUCSON W INA |
Entity Type | Organization |
Authorized Contact | HANNAH FISH Credentialing Manager 217-540-5699 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2007-08-23 |
Last Update Date | 2023-09-18 |