| NPI | 1861658304 |
|---|---|
| Doing Business As | CLASSICAL DENTISTRY OF ARIZONA |
| Entity Type | Organization |
| Authorized Contact | FAWNE E PRYOR Insurance Manager 480-619-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5002) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |