NPI | 1871707836 |
---|---|
Doing Business As | SWEET TOOTH PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | TIMOTHY J BASHARA Owner, Dentist 480-988-1879 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AZ D5688) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2008-09-17 |