| 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 |