NPI | 1821456419 |
---|---|
Doing Business As | EXCEL DENTAL |
Entity Type | Organization |
Authorized Contact | ELLIS BURKE JARDINE Owner 480-862-3185 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2016-02-10 |
Last Update Date | 2023-03-07 |