NPI | 1730639840 |
---|---|
Doing Business As | DESERT KIDS DENTISTRY |
Entity Type | Organization |
Authorized Contact | STEVEN JAMES PETRUZZI President 760-218-1638 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D008162) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2016-10-12 |