NPI | 1629226857 |
---|---|
Doing Business As | GENERAL DENTISTRY 4 KIDS |
Entity Type | Organization |
Authorized Contact | JOSEPH TANN In House Counsel 480-607-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4964) |
Enumeration Date | 2008-08-29 |
Last Update Date | 2013-11-26 |