| NPI | 1760216816 |
|---|---|
| Doing Business As | GREATER PHOENIX PERIODONTICS & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | CHAD M CRAVATTA Owner 480-834-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |