NPI | 1851438501 |
---|---|
Doing Business As | AVALON ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | TOBY WILLIAM VANLANDSCHOOT President 480-650-9927 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AZ 6160) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-08-22 |