| NPI | 1841050267 |
|---|---|
| Doing Business As | PARADISE RIDGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RODNEY CLARK TILLEY Owner/Gm 602-695-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |