| NPI | 1750005435 |
|---|---|
| Doing Business As | WELLNESS DENTAL |
| Entity Type | Organization |
| Authorized Contact | SIBERA TROY BRANNON Owner 520-214-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |