NPI | 1740714229 |
---|---|
Doing Business As | DA VINCI DENTAL PHOENIX |
Entity Type | Organization |
Authorized Contact | RACHEL R DEAVILA Dentist/Owner 602-336-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ 5998) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |