NPI | 1649455379 |
---|---|
Doing Business As | DESERT DENTAL ARTS |
Entity Type | Organization |
Authorized Contact | GORDON KENT ROEDIGER Dentist/Owner/President 520-575-6216 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ 2385) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2007-12-31 |