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 |