| NPI | 1760084255 |
|---|---|
| Doing Business As | ARIZONA SPECIAL DENTISTRY AND SURGERY LLC |
| Entity Type | Organization |
| Authorized Contact | SARAH GARVIN Credentialing Specialist 435-637-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-12-28 |