NPI | 1699986356 |
---|---|
Doing Business As | GENERAL DENTISTRY 4 KIDS |
Entity Type | Organization |
Authorized Contact | JOSEPH TANN In House Counsel 480-607-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-05-24 |
Last Update Date | 2013-11-26 |