| NPI | 1659981363 |
|---|---|
| Doing Business As | DOWNTOWN PHOENIX DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANNIE BALLARD Office Administrator 602-518-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |