| NPI | 1821242082 |
|---|---|
| Doing Business As | EAST VALLEY PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | PENNY SUE MCKINNEY Office Manager 480-218-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AZ 2619) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |