| NPI | 1740882133 |
|---|---|
| Former Legal Business Name | CHANDLER DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN E TUINEI Credentialing Manager 602-750-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |