NPI | 1811250301 |
---|---|
Doing Business As | SKYLINE DENTAL GROUP AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JONATHAN RICHTSTEIG Dmd/Owner 480-882-3119 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-06-19 |
Last Update Date | 2013-12-31 |