NPI | 1629189626 |
---|---|
Doing Business As | GRENWOOD FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | KRISTI LYNN GEHR Office Manager 480-315-1044 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5658) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |