AZCDC,LLC

GLENDALE, AZ
NPI1639622103
Entity TypeOrganization
Authorized ContactJOAN L FOX
Dentis
480-226-5652
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
(Licence: AZ  D4274)
Additional Taxonomies261QD0000X Clinic/Center Dental
(Licence: NM  DD4407)
Enumeration Date2016-08-01
Last Update Date2016-10-20