| NPI | 1700222916 |
|---|---|
| Doing Business As | CHANDLER MODERN DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TYSON M JOLLEY Owner 480-792-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2022-04-13 |