| NPI | 1689341919 |
|---|---|
| Doing Business As | TANQUE VERDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW SMITH Owner 928-651-0931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |