NPI | 1679036016 |
---|---|
Former Legal Business Name | ANDREW SLOAN DMD LLC |
Entity Type | Organization |
Authorized Contact | ANDREW PAUL SLOAN Dentist/Owner 602-740-5418 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-04-11 |
Last Update Date | 2019-04-11 |