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 |