| NPI | 1811108574 |
|---|---|
| Doing Business As | GENERAL DENTISTRY 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH TANN In House Counsel 480-607-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-11-26 |