NPI | 1720854540 |
---|---|
Doing Business As | UPTOWN DENTAL |
Entity Type | Organization |
Authorized Contact | MITCHELL RYAN KAUS Dentist 623-262-4878 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-12-01 |
Last Update Date | 2023-12-01 |