| NPI | 1699015230 |
|---|---|
| Doing Business As | RISAS DENTAL & BRACES |
| Entity Type | Organization |
| Authorized Contact | WHITNEY BOYLE WRIGHT Officer 480-339-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO D008186) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2024-03-19 |