| NPI | 1700539004 |
|---|---|
| Doing Business As | WELLNESS DENTAL SURPRISE |
| Entity Type | Organization |
| Authorized Contact | SEVERN BIZZARO Manager 520-220-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |