NPI | 1659308641 |
---|---|
Doing Business As | VALLEY ENDODONTICS AND ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | DEBORAH HENEBRY Credentialing COO Rdinator 602-734-4518 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: AZ 4411) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2022-04-28 |