| NPI | 1790334472 |
|---|---|
| Doing Business As | MOON VALLEY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANELLE GOSSARD Office Manager 602-993-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |