| NPI | 1760611552 |
|---|---|
| Doing Business As | CLASSICAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FAWNE E PRYOR Ins Mgr 623-582-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D7345) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |