| NPI | 1679974232 |
|---|---|
| Former Legal Business Name | PHOENIX DENTAL CENTER PLLC |
| Entity Type | Organization |
| Authorized Contact | JASON H NORDEAN Dentist 602-650-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 8657) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |