NPI | 1639700735 |
---|---|
Doing Business As | INTEGRATIVE DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | AMELIA HAZARD Doctor 520-360-5603 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2020-01-28 |
Last Update Date | 2020-01-28 |