| NPI | 1649629361 |
|---|---|
| Doing Business As | WILD WEST ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARY H RUIZ Regional Manager 623-536-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-06 |