| NPI | 1801125786 |
|---|---|
| Other Name | CHILDREN'S DENTAL LAND |
| Entity Type | Organization |
| Authorized Contact | DAVID HAASLO Member 602-626-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D5802) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D5830) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |