NPI | 1740627744 |
---|---|
Doing Business As | GILBERT MODERN DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | RICHARD I. ASHTON II Owner 480-457-8283 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2013-05-30 |
Last Update Date | 2013-05-30 |