| NPI | 1851521918 |
|---|---|
| Doing Business As | IMPRESSIONS DENTAL |
| Entity Type | Organization |
| Authorized Contact | KELLY BRANDON WETTSTEIN Owner 480-814-8888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ d7749) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |