| NPI | 1609961309 |
|---|---|
| Doing Business As | CROSSROADS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TYLER CLAYTON Owner Dmd 480-821-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-01-07 |