NPI | 1689715799 |
---|---|
Doing Business As | A TOOTH DOCTOR FOR KIDS-EAST |
Entity Type | Organization |
Authorized Contact | JEFFREY TODD ERICKSON President 480-655-8687 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |