| NPI | 1649331786 |
|---|---|
| Doing Business As | THUNDERBIRD DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID W BANKS Secretary For The Corporation 602-955-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |