| NPI | 1629628029 |
|---|---|
| Other Name | DYNAMIC DENTISTRY AZ |
| Entity Type | Organization |
| Authorized Contact | KRISTA FARR President 928-537-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2020-12-09 |